Download Urinary Tract Infections

Urinary Tract Infections
Irene Karrouze
SNCCG
The urinary system
How well do you know your bladder
How much urine can a bladder hold?
What is the recommended times you should go
to the toilet during the day?
What is the recommended times you should go
to the toilet during the night?
How much fluid should you drink in a day?
What is a Urinary tract infection?
-upper urinary tract
infection
-lower urinary tract
infection
Symptoms of a urinary tract infection
 Pain or discomfort when urinating
 Cloudy smelly urine
 Increased confusion or delirium (particularly in dementia)
 A need to urinate more
 A high temperature or fever above 38 degrees
 Uncontrollable shivering
 Feeling sick (nausea)
 Vomiting or diarrhoea
 Blood in urine
Who is at risk of developing a UTI?
Anyone can develop a UTI, and for most it will
clear up after a few days without the need for
antibiotics.
However the elderly, and people who have
other long term conditions such as diabetes are
at higher risk of developing a UTI.
Catheter associated urinary tract
infection
 Invasive device
 Bacteria will build up
around catheter after 7
days insitu
 Do not use a urine
dipstick to diagnosis a
UTI
 Take sample from port
not bag
 Hygiene and secure
catheter
 catheter passport
 And individual care plan
How to prevent Urinary tract
infections?
Hydration
Ask the question is my resident dehydrated or
have an infection?
Hygiene
Vaginal atrophy
Incontinence (cross
Contamination)
Enlarged prostate (men)
Avoid constipation
Emptying the bladder
to completion
Medication review
Diagnosing a UTI
Urine dipstick
Collecting a MSU/CSU
Assessment if resident has a possible UTI
When to start antibiotics
When to investigate
Red flags
Take home message
Do not use urine dipstick testing to
diagnosis a UTI
Negative dipstick testing rules out a UTI
UTI should be diagnosed with the
presence of signs and symptoms