UTI DIAGNOSIS

UTI DIAGNOSIS

The UTI which is the infection to the urinary tract begins when the bacteria gains entry to the body through important organs such as the part of the urinary tract, the kidney or the bladder. Many people feel the burning sensation, pain and the urgent need to pee when infected. The antibiotics are mainly used in clinics and chemists.

The work of these antibiotics is to kill the bacteria which initially caused the infection. It is therefore advisable to take the antibiotics exactly the same way prescribed by the physician. This is because a very small UTI case can spread to other vital organs like kidney or the bladder leading to serious infections like the blood infection or the kidney infection. Your culture urine results will determine the type of antibiotics and how long they will be taken. (Selekman, Allen, & Copp, 2016)

 

The diagnosis for the UTI using the clinical criteria only can have lots of shortcomings. As a matter of fact, the range of the error when the clinical criterion is used is approximated to thirty three percent. It follows therefore that the Nursing Practitioner ought to use other data for assessment while at the same time paying attention and being vigilant to the accuracy of the data. For instance, the premenopausal women take a big part of the patient population. They have many risk factors such as diabetes.

The history of the UTI, the childhood UTI history, the UTI history related to the relatives and many others. (Allen, Manilal & Gezmu,2019).

There is a case of UTI which is not complicated. This type of UTI is monobacterial to the extent of ninety five percent. There is the rampant pathogen also for the UTI which called the E.coli accounting between the seventy five to ninety five percent. The other pathogens include the streptococci of group B, the proteus mirabilis, enterococcus faecallis and the klebsiella pneumonia. The not complicated literally means that your urinal tract is quite normal. The complicated ones literally mean that you have an infection or a serious problem with your urinary tract. The narrowing of your ureters might have taken place, the tubes that transport urine all the way from the kidneys to the bladder. From the bladder, the urine is excreted out of the body. You can also have a blockage either from the enlarged prostate or the kidney stone. The enlarged prostate happens in men only.

The higher doses of antibiotics could be prescribed for the case of the complicated infection. The UTI could be severe or even your kidney infection could be worse. In that case If your UTI is severe, you will be treated either in the office of the doctor or even in hospital. The high dose antibiotics gotten through IV are prescribed.

 

In treating Shelly, safe dosing should be kept in mind and the first thing would be to know the kind of the infection and put in the necessary classification. The classification could be prostatitis, pyelonephritis or the asymptomatic bacteriuria. (Vik,Bollestad,Grude,Bærheim, Damsgaard, Neumark & Lindbæk,2018). For the complicated UTI, the regimen which is empiric in nature can be directed by the susceptibility fluctuations of uropathogens locally. The regimens which are definitive in nature should be guided by the results of the susceptibility, that is if available.

The priority for teaching in this case of Shelly will be the hydration. The hydration is known for diluting the uropathogen and which will end up removing the urine that is infected. This is done through frequent emptying of the bladder.  The bacteria count however, returns to the level of prehydration the moment the discontinuation of the hydration occurs. There are usually potential discomforts that come with the forcing of the fluids. These problems are the reduced urinary antibiotic concentration and the retention of urine in a patient with a bladder that is obstructed partially. With Shelly taken care in the manner described above, treatment and recovery will be certainty. ( Selekman,Sanford,Ko, Allen& Copp,2017)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Selekman, R. E., Allen, I. E., & Copp, H. L. (2016). Determinants of practice patterns in pediatric UTI management. Journal of pediatric urology, 12(5), 308-e1.

Selekman, R. E., Sanford, M. T., Ko, L. N., Allen, I. E., & Copp, H. L. (2017). Does perception of catheterization limit its use in pediatric UTI?. Journal of pediatric urology, 13(1), 48-e1.

Vik, I., Bollestad, M., Grude, N., Bærheim, A., Damsgaard, E., Neumark, T., … & Lindbæk, M. (2018). Ibuprofen versus pivmecillinam for uncomplicated urinary tract infection in women—A double-blind, randomized non-inferiority trial. PLoS medicine, 15(5).