URINRY TRACT INFECTION (UTI) in PREGNANCY

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Urinary tract infections are common bacterial infections that can occur during pregnancy. The document defines UTIs during pregnancy and discusses the types, causes, symptoms, risk factors, tests, treatments, nursing management, prevention, and complications of UTIs when pregnant. Escherichia coli is often the cause and symptoms can include painful urination, foul smelling urine, and lower abdominal pain. It is important to properly diagnose and treat UTIs during pregnancy to prevent potential complications like premature birth, kidney infection, or sepsis.

Healthcare

URINRY TRACT
INFECTION (UTI) in
PREGNANCY
GroupA-5, 10th Batch, Ibn Sina Nursing Institute
1

Contents
1. Introduction
2. Definition Of Urinary Tract Infection(UTI)
3. Types of Urinary TractInfection
4. Causative Agent
5. Clinical Feature
6. Investigation
7. Risk Factors
8. Medical Management
9. Nursing Management
10. Prevention
11. Complication
12. Conclusion
2

Introduction
Urinary Tract Infection (UTI) are the
most common acquired bacterial
infections with more than 7 million
cases reported annually in the united
states.
E. Coli is the etiological agent in UTI
cases. Incidence of UTI in females
varies during stage of menstrual cycle,
pregnancy and menopause.
3

Definition of UTI
UTI defined as multiplication of organisms in the
urinary tract infection.
Definition of UTI in pregnancy
Urinary tract infection is one of the most common
bacterial infections, it can be defined as the presence
of pathological microorganisms in the urinary tract
infection in pregnancy
4

Types of Urinary Tract Infection
1. Lower UTI: Cystitis and
urethritis
2. Upper UTI: Infection of
Kidneys, pelvis and ureter
5

Causative Agent of Urinary Tract
Infection in Pregnancy
1. Escherichia coli
2. Klebsiella pneumonia
3. Staphylococcus
saprophyticus
4. Proteus mirabilis
5. Enterobacter species
6

Clinical Features of Urinary Tract
Infection in Pregnancy
• Painful urination (burning
sensation)
• Hot and foul smelling urine
• Blood in urine
• Fever (sometimes with
chills)
• Painful lower abdomen
• Nausea and vomiting
7

Risk Factor of Urinary Tract Infection
in Pregnancy
1. Diabetes mellitus
2. Increasing age
3. Neurologic problems
4. Neurogenic bladder
5. Sexual activity
6. Low socio economic
status
7. Anaemia
8

Investigation of Urinary Tract Infection
in Pregnancy
1. Urine for CS
2. Urine for R/M/E (urinary
tract infections, kidney
disorders)
3. Urinalysis
4. Ultrasonography
5. Visual bladder and urethra
Examination
9

Medical Management of Urinary Tract
Infection in Pregnancy
1. Prophylactic measure for recurrent UTI:
• Intake of plenty of fluid (>21/day)
• Regular emptying of bladder
• Washing of perineum in female from front to
back after defaecation
• Avoiding of constipation, which may impair
bladder emptying
• Good personal hygiene
• Prophylactic antibiotic
10

Nursing Management of Urinary Tract
Infection in Pregnancy
Nursing Assessment:
• History taking
• Assess personal hygiene
• Assess urine color, volume, concentration and odor
Nursing Diagnosis:
• Acute pain related to infection
• Deficient knowledge related to infection
Nursing Interventions:
• Relieving pain: The pain associated with UTI is relieved by analgesic. Antispasmodie agents may
also be useful in relieving pain. The patient is encouraged to drink plenty of fluid
• Monitoring and managing potential complications: Early recognition of UTI and prompt treatment are
essential to prevent recurrent infection and the possibility of complications such as renal failure,
sepsis and obstruction.
11

Evaluation of Urinary Tract Infection in
Pregnancy
• Reduce Inflammation
• Reduce pain
• Reduce burning sensation
12

Prevention of Urinary Tract Infection in
Pregnancy
1. Drink Plenty of water
2. Wash carefully around the genitals andanus
3. Empty bladder fully when urinating
4. Urinate after sexual intercourse
5. Use topical estrogen
6. Pass urine whenever the urge
7. Urinate before and after having sex
13

Complication of Urinary Tract Infection
in Pregnancy
1. Kidney infection
2. Premature birth
3. Bleeding
4. Ureteral stenosis
5. Sepsis
14

Conclusion
Urinary tract infection are the 2nd most common bacterial
infection. Women are the most infected subjects in the
population. Development of resistance by the bacterial
result in problems during the treatment and lead to
relapse or recurrence.
15

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Respond on two different days who selected at least one different factor than you, in one or more of the following ways:Offer alternative diagnoses and prescription of treatment options for urinary tract infections.Share an insight from having read your colleague’s posting, synthesizing the information to provide new perspectives Main Post Urinary tract infections (UTI) are one of the most common infections in the world, and advanced practitioners must be able to diagnose and treat the varying types of UTIs. Understanding the location of the UTI, upper or lower, the pathophysiology, and specific signs and symptoms are crucial for treatment. An advanced practitioner must also be aware of the roles that gender and age play in the development of a UTI. UTIs are common in the outpatient setting but can also happen in the hospital and can also be caused by a Foley catheter, which is considered a hospital-acquired event that the hospital will not receive reimbursement. Pathophysiology of Lower Urinary Tract Infection A lower urinary tract infection involves the path of least resistance or the most opportunistic point of entry for an organism, usually bacterial and involves the urethra and the bladder. An infection in the urethra or bladder (cystitis) are considered a lower urinary tract infection. The microbial spectrum of UTIs consists mainly of Escherichia coli, with occasional other species of Enterobacteriaceae such as Proteus mirabilis and Klebsiella pneumoniae and other bacteria such as Staphylococcus saprophyticus (Yamamichi, Shigemura, Kitagawa, and Fujisawa, 2018). Pathophysiology of Upper Urinary Tract Infection The upper urinary tract consists of the kidneys and ureters. Infection in the upper urinary tract generally affects the kidneys (pyelonephritis), which can cause fever, chills, nausea, vomiting, and other severe symptoms. It can be caused by an infection that has made its way up the urinary tract and can become a complicated infection from an obstruction, such as benign prostatic hypertrophy, and calculi. Similarities and Differences Although the location of the infection is different many of the signs and symptoms can present the same; fever, dysuria, frequency, or urgency may be present in both. Many lower tract UTIs may be asymptomatic, and in upper tract UTIs, the symptoms may be more severe, including nausea and vomiting, flank pain, or costovertebral angle tenderness. Finding the underlying cause and treatment is the same; antibiotics for bacterial infections and analgesics for pain control. Intravenous antibiotics are preferred for upper tract UTIs in an attempt to preserve organ damage, but mat be converted to oral after initial treatment. Gender and Age as Factors While common in both males and females, females are more prone to community-acquired UTIs than men, basically because of anatomical differences. Lema (2015) ackno.

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