26. Gram negative bacilli. Escherichia coli Gram positive cocci in chains. Enterococcus faecalis Gram positive cocci Staphylococcus saprophyticus Gram positive budding yeasts and large pseudohyphae. Candida albicans
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32. Review of 3 days therapy No symptoms , pyuria, bacteriuria Noninfectious Urethral syndrome Without bacteriuira With symptoms Without symptoms Yes No Without bacteriuira With bacteriuira Woman with urethral stimulate symptom 3 days antibiotics therapy （ TMP-SMZ 2 # Bid / Ofloxacin 0.2g Bid ） Urinalysis and urine bacteria culture Cystitis (cured) Symptoms relapse with pyuria and bacteriuria pyelonephritis (occult ) pyuira pyelonephritis Urethral syndrome caused by chlamydia trachomatis 7 days later 1W~1M
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48. Review of 3 days therapy No symptoms , pyuria, bacteriuria Without symptoms Urinalysis and urine bacteria culture Cystitis (cured) 7 days later
UTIs appear to remain common throughout a woman's life In a report of girls who were followed from their first known infection in childhood into adulthood (and who may have represented a selected group at higher risk for UTI than the general population), the incidence of acute cystitis dropped to low levels, increased to approximately 0.5 episodes per year during their late teens and early twenties (presumably due to sexual activity), and then dropped to approximately 0.1 episodes per year in their early thirties
Introitus:entrance
唇 anatomy
Inhibit or kill bactria
Systemic toxic symptom
HP high power field WBC 脂酶试纸阳性 ; sterile The most accurate method for assessing pyuria is to examine an unspun voided midstream urine specimen with a simple hemocytometer; 10 or more leukocytes per microL are considered abnormal
10 to 5 power make sense
The most accurate method for assessing pyuria is to examine an unspun voided midstream urine specimen with a simple hemocytometer; 10 or more leukocytes per microL are considered abnormal wet mount or Gram's stain 浸试条法 : 白细胞酯酶
The most accurate method for assessing pyuria is to examine an unspun voided midstream urine specimen with a simple hemocytometer; 10 or more leukocytes per microL are considered abnormal wet mount or Gram's stain 浸试条法 : 白细胞酯酶
These are some examples.
发现皮质瘢痕及肾盂肾盏变形或不对称 肾脏缩小
绿脓杆菌、变形杆菌、粪链球菌；
acute urethral syndrome Azithromycin 〖中文通用名〗阿奇霉素
1.a quantitative urine culture or a comparable alternative diagnostic test should be performed except acute uncomplicated cystitis. 2.Before empirical treatment is begun When culture results become available, antimicrobial sensitivity testing should be used to further direct therapy.
Obstruction is caused by Urinary stones, it should be corrected surgically if possible.
Despite increasing resistance, community-acquired infections, especially initial infections, are usually due to more antibiotic-sensitive strains.
After completing one course of treatment , we need to judge the results of treatment.
Early recurrences due to the same strain may results from an unresolved upper tract focus of infection but often results from persistent vaginal colonization. Vaginal and rectal folra.
![Urinary Tract Infection Department of Nephrology,the First Affiliated Hospital , Sun Yat-sun University Qiongqiong Yang [email_address]](https://image.slidesharecdn.com/utienglishppts-100510225624-phpapp01/85/Uti-english-ppts-1-320.jpg)
![[object Object],Definitions Dysuria frequency urgency](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)