Renal disorders (Kidney stones)

  1. What are some etiologies of cystitis/urethritis?
    • Ascending infection by a single
    • gram-neg enteric bacterium
    •  • E. coli, Klebsiella, Proteus, Enterobacter,
    • Pseudomonas, Serratia
    • Simultaneous infection with multiple pathogens
    • • Neurogenic bladder, indwelling urinary catheter, or a fistula between intestine and bladder
    • Breakdown in local defense
    • mechanisms 
  2. What are some diagnostic options to test for UTI?
    • Characteristic clinical features and a
    • microscopic urinalysis showing RBCs and WBCs > than 10/high- power field
    • Clean midstream urine specimen with bacterial count > 100,000/ml
    • Note: Lower counts do not
    • necessarily r/o infection because bacteria require 30-45 min to reproduce in urine 
  3. How long do you have to be on antibiotics for UTI typically?
    • 7-10 day course is standard, however...
    • Recent studies show single dose or 3-5 day antibiotic regimen may be sufficient to render urine sterile 
  4. What can you do to help prevent UTI?
    • Men:
    • Urge prompt treatment of predisposing conditions (chronic prostatitis) 

    • Women:
    • Wipe perineum front to back
    • Clean thoroughly with soap and water after defecation
    • Void after intercourse
    • Void frequently 
Card Set
Renal disorders (Kidney stones)
Adult MedSurg 2