UTI/pyelonephritis Flashcards
asymptomatic bacteriuria
significant bacteria but no symptoms
pyelonephritis
infection of the kidney
uncomplicated UTI
infections to pts who are healthy and have no structural or functional abnormalities of the urinary tract
complicated UTI
infections to pts who have abnormalities of their urinary tract, a stone, a catheter, obstruction, or neurologic deficit affecting flow
signs and symptoms of acute simple cystitis
dysuria
urinary incontinence
uinary urgency
urinary frequency
foul smelling urine
hematuria
signs and symptoms of complicated UTI/ pyelonephritis
sign and symptoms of ASC
chills
fever
flank plain
costovertebral angle tenderness
N/V
abdominal pain
diagnosis
get a UA
if positive w s/sx proceed with a urine culture
gold standard
culture with sensitivities
no UTI symptoms
not at risk population
no culture
no UTI symptoms
at risk population
culture
any UTI symptom
at risk population
culture
any UTI symptoms
not at risk
evaluate pyuria and contamination
any UTI symptoms
NOT at risk
pyuria (>10 WBC)
no contamination (<100 squamous cells)
culture
any UTI symptoms
at risk
no pyuria
no culture , strong predictor of no infection
any UTI symptoms
at risk
pyuria and contamination (>100 squamous cells)
no culture