IMED3001 Lecture Notes - Lecture 8: Urinary Tract Infection, Neurogenic Bladder Dysfunction, Fecal Incontinence
28 May 2020
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Document Summary
Cystitis: infection of the bladder (lower urinary tract infection) Pyelonephritis: infection of the parenchyma and collecting system of the kidney (upper urinary tract infection) Asymptomatic bacteriuria: significant bacteriuria present in the urine with no symptoms. Cystitis & pyelonephritis may coexist and some cystitis patients may have subclinical pyelonephritis. Bacteria present in the urine in significant numbers without sings or symptoms of uti. Presence of the same organism in counts of 108 l in 2 consecutive samples: usually seen in children, pregnant women & elderly. Infection of bladder or kidney occurring in a normal host without structural or functional abnormality of the urinary tract. Infection associated with factors increasing colonisation and decreasing efficacy of therapy. Immunocompromised host: multi-drug resistant bacteria, more severe, more difficult to treat and recurrent. Burden of uti: utis make up 1. 2% of conditions of gp. Remote areas, lower socioeconomic standings, atsi: utis estimated to make priority of hais, most are catheter related.
