Lower UTI

Question 1

lower UTI affects what part of urinary tract?

Answer 1

lower part of urinary tract: bladder & urethra

Question 2

Lower UTI is the ______ most common bacterial infection

Answer 2

Lower UTI is the 2nd most common bacterial infection (after respiratory most common)

Question 3

what causes UTI?

Answer 3

variety of bacteria, most common Ecoli (normal flora in gut moves from butt to urethra)

Question 4

how does bacteria enter to cause UTI’s?

Answer 4

• urethral entry which then causes ascending infection

- at times enters via blood

Question 5

what are some of the normal defenses that protect people from getting UTI’s

Answer 5

• washout (strong beginning stream of urine)(in males & females)
• local immune response
• mucin layer (glycoprotien secreted by bladder wall lines epithelium, protective layer that inhibits bacterial contact with wall of bladder)
• prostatic fluid (males) has antimicrobial properties
• periurethral flora (females) normal flora: microbial antagonism-which is normal flora taking up space so other bacteria has less space to come there

Question 6

risks for lower UTI

Answer 6

• catheterization (microbes attach to catheter secrete a biofilm to protect themselves from bodys defenses)
• obstruction which can lead to urine stasis & reflux

Question 7

manifestations of lower UTI

Answer 7

• acute onset
• lower abdominal/back pain
• frequency
• dysuria (painful urination)

Question 8

diagnosing lower UTI

Answer 8

• mnfts (clinical presentation)
• dipstick of urine then confirm with urinalysis
• and if confirmed diagnosis Culture & sensitivity

Question 9

treatment

Answer 9

• antibiotics
• fluids
• if there is an underlying cause treat underlying cause ex. BPH, urinary obstruction