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Uti english ppts
- 1. Urinary Tract Infection Department of Nephrology,the First Affiliated Hospital , Sun Yat-sun University Qiongqiong Yang [email_address]
- 15. Bacterial virulence factors E coli: specific O,K, and H serogroups
- 17. Clinical Manifestation Cystitis acute pyelonephritis Dysuria, frequency, urgency obvious obvious Fever, shaking chills none showed Costovertebral angles tenderness /sensitive to percussion none showed WBC mostly normal increased pathogenic bacterium Escherichia coli （ 75%) coagulated negative staphylococcus （ 15% ） Escherichia coli 、 bacillus proteus 、 Klebsiella
- 26. Gram negative bacilli. Escherichia coli Gram positive cocci in chains. Enterococcus faecalis Gram positive cocci Staphylococcus saprophyticus Gram positive budding yeasts and large pseudohyphae. Candida albicans
- 32. Review of 3 days therapy No symptoms , pyuria, bacteriuria Noninfectious Urethral syndrome Without bacteriuira With symptoms Without symptoms Yes No Without bacteriuira With bacteriuira Woman with urethral stimulate symptom 3 days antibiotics therapy （ TMP-SMZ 2 # Bid / Ofloxacin 0.2g Bid ） Urinalysis and urine bacteria culture Cystitis (cured) Symptoms relapse with pyuria and bacteriuria pyelonephritis (occult ) pyuira pyelonephritis Urethral syndrome caused by chlamydia trachomatis 7 days later 1W~1M
- 48. Review of 3 days therapy No symptoms , pyuria, bacteriuria Without symptoms Urinalysis and urine bacteria culture Cystitis (cured) 7 days later
- 66. Thanks ！
Notas do Editor
- classified
- Very common. Epidemiological study 30196 普查女性结果
- UTIs appear to remain common throughout a woman's life In a report of girls who were followed from their first known infection in childhood into adulthood (and who may have represented a selected group at higher risk for UTI than the general population), the incidence of acute cystitis dropped to low levels, increased to approximately 0.5 episodes per year during their late teens and early twenties (presumably due to sexual activity), and then dropped to approximately 0.1 episodes per year in their early thirties
- Introitus:entrance
- 唇 anatomy
- Inhibit or kill bactria
- Systemic toxic symptom
- HP high power field WBC 脂酶试纸阳性 ; sterile The most accurate method for assessing pyuria is to examine an unspun voided midstream urine specimen with a simple hemocytometer; 10 or more leukocytes per microL are considered abnormal
- 10 to 5 power make sense
- The most accurate method for assessing pyuria is to examine an unspun voided midstream urine specimen with a simple hemocytometer; 10 or more leukocytes per microL are considered abnormal wet mount or Gram's stain 浸试条法 : 白细胞酯酶
- The most accurate method for assessing pyuria is to examine an unspun voided midstream urine specimen with a simple hemocytometer; 10 or more leukocytes per microL are considered abnormal wet mount or Gram's stain 浸试条法 : 白细胞酯酶
- These are some examples.
- 发现皮质瘢痕及肾盂肾盏变形或不对称 肾脏缩小
- 绿脓杆菌、变形杆菌、粪链球菌；
- acute urethral syndrome Azithromycin 〖中文通用名〗阿奇霉素
- 1.a quantitative urine culture or a comparable alternative diagnostic test should be performed except acute uncomplicated cystitis. 2.Before empirical treatment is begun When culture results become available, antimicrobial sensitivity testing should be used to further direct therapy.
- Obstruction is caused by Urinary stones, it should be corrected surgically if possible.
- Despite increasing resistance, community-acquired infections, especially initial infections, are usually due to more antibiotic-sensitive strains.
- After completing one course of treatment , we need to judge the results of treatment.
- Early recurrences due to the same strain may results from an unresolved upper tract focus of infection but often results from persistent vaginal colonization. Vaginal and rectal folra.
- 头孢泊肟酯 Empirical therapy: oral TMP-SMX,TMP, fluoroquinolone ,amoxicillin, macrocrystalline nitrofurantoin, cefpodoxime proxetil
- These are some examples.
- 绿脓杆菌、变形杆菌、粪链球菌；
- Penbritin 广谱青霉素 , 氨基苄青霉素 Chose the one that can reach a
- Penbritin 广谱青霉素 , 氨基苄青霉素 Chose the one that can reach a
- Bacteriuria appear again after cessation of treatment. Reinfection:
- the following conditions should be considered : After completing one course of treatment , we need to judge the results of treatment.
- , the following conditions should be considered:
- 头孢曲松， 头孢他定。 If the infection is not more severe, or the infecting strain is Abs resistant , prolong therapy
- Because Abs usually unsucessful and may result in infection with more resistant stain.
- Non-pregnant women Elderly people Complicated UTIs: not recommended to treat because of hard to achieve radical cure.
- urinate every 2~3 hours in order to douching bladder and uretha and avoiding pathogenic bacteria breeding in the urinary tract.