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  • Urinary Tract Infection

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    Ariane Benina
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    Urinary tract infections are caused by pathogenic microorganisms in the urinary tract. UTI can be asymptomatic bacteriuria, symptomatic infections like uncomplicated or complicated UTI, cystitis, or pyelonephritis. Common causes are E. coli, Klebsiella, and S. saprophyticus. Symptoms include urinary frequency, urgency, and dysuria. Diagnosis involves a urinalysis showing pyuria, positive leukocyte esterase and nitrites, and urine culture. Treatment involves antibiotics like nitrofurantoin, TMP-SMX, or fluoroquinolones.

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    Urinary tract infections are caused by pathogenic microorganisms in the urinary tract. UTI can be asymptomatic bacteriuria, symptomatic infections like uncomplicated or complicated UTI, cystitis, or pyelonephritis. Common causes are E. coli, Klebsiella, and S. saprophyticus. Symptoms include urinary frequency, urgency, and dysuria. Diagnosis involves a urinalysis showing pyuria, positive leukocyte esterase and nitrites, and urine culture. Treatment involves antibiotics like nitrofurantoin, TMP-SMX, or fluoroquinolones.

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    3 visualizações12 páginas

    Urinary Tract Infection

    Enviado por

    Ariane Benina
    Urinary tract infections are caused by pathogenic microorganisms in the urinary tract. UTI can be asymptomatic bacteriuria, symptomatic infections like uncomplicated or complicated UTI, cystitis, or pyelonephritis. Common causes are E. coli, Klebsiella, and S. saprophyticus. Symptoms include urinary frequency, urgency, and dysuria. Diagnosis involves a urinalysis showing pyuria, positive leukocyte esterase and nitrites, and urine culture. Treatment involves antibiotics like nitrofurantoin, TMP-SMX, or fluoroquinolones.

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    Urinary tract infection

    Definisi UTI
    • Adanya pathogenic
    microorganism dalam
    urine, urethra,
    bladder, kidney/
    prostate
    • Measurement of
    >10^5 bacteria di
    urine culture pada yg
    asympotmatic atau
    >10^3 pada pasien
    dengan RF ataupun
    symptomatic
    Classifications
    • Asymptomatic bacteriuria
    • Symptomatic infections
    • Uncomplicated (simple) UTI
    • Complicated UTI

    • Cystitis vs pyelonephritis
    • Outpatient vs Inpatient
    • Catheter associated UTI
    Lower Urinary Etiology
    Tract Symptoms
    • E.coli  nomer 1
    • Irritative  UTI
    • Klebsiella  nomer 2
    Nocturia, Frequency, Urgency
    • S. sacrophyticus  sexually
    • Obstructive  BPH, Stone active woman (plg sering bkin
    Hesitancy, poor flow, cystitis)
    polakisuria, post void dribbling, • S. aurius  infection dari previou
    strouning surgery
    Klinis Catheter
    Associated UTI
    • Cystitis  dysuria, frequency, • Bakteri masuk lewat
    urgency, suprapubic pain, pyuria, intraluminal/
    • Acute pyelonephritis  Trias (fever, periurethral dan
    CVA+, Nausea/ vomit), hematuri, membuat biofilm
    pyuri, ballotemen + • Dalam 24-72 jam udh
    bs masuk ke bladder
    • Urethritis  dysuria, frequency,
    pyuria • Klinisnya ga ada fever,
    cuman LUTS dan
    buat urethritis klo >50 taun hilang kalau catheter
    biasanya krna E.coli dicabut
    Laboratory diagnosis
    • Urinalysis
    • Urine microscopy  urine
    gram stain
    • Nitrite test
    • Pyuria
    • Leucocyte esterase
    • Bacteria urine culture
    • Anaerobic urine culture
    • Fungal urine culture
    • Mycobacterial urine culture
    What to expect? WBC
    Cast
    Pyelonephritis, UTI, NS
    Hyaline Normal
    • Pyuria RBC Nephritic, stone, UTI

    • WBC + Waxy CKD, Proteinuria berat


    Fatty cast Nephrotic syndrome
    • LE + Crystal

    • Nitrate + (kecuali
    Calcium oxalate CT dan X-ray Radiopaque Envelope
    staphyloccocus dan
    (hypocitraturia) , pH naik (calcium
    streptococcus)
    Struvite phosphate bentuknya Coffin lid
    • Proteinuria wedge shaped prism)

    • Hematuria Uric acid CT Radiolucent, kalau X- Rosette , barrel , diamond


    Cysteine ray bisa keliatan bisa Hexagonal
    engga , pH turun
    TREATMENT
    Prophylaxis antibiotics

    • Nitrofurantoin
    • TMP-SMX
    • TMP
    • Oral floroquinolones

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