Urinary Tract Infection: Difference between revisions

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== Medical Management (current best evidence)  ==
== Medical Management (current best evidence)  ==


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    Urinary tract infections are most commonly treated by antibiotic prescription. Frequently prescribed antibiotics include [8]:
 
*Nitrofurantoin
*Amoxicillin
*Trimethoprim
*Fluoroquinolones
 
Antibiotics are usually taken anywhere from 3 days to 10 days, depending on severity of symptoms, comorbidities, complications of infection, and dosage [1] [8]. Overutilization of antibiotics is a common issue, particularly in hospitals and long term facilities, which may cause patients to develop resistance to the medication over time [1]. <br>&nbsp; &nbsp; &nbsp;Alternative treatment includes the use of probiotics, ensuring proper hydration, drinking cranberry juice, and urinating frequently [2] [5] [9]. Using a heating pad on the patient’s lower back or abdomen may also help the symptoms of the UTI [9]. Surgery may be required in the presence of an anatomical abnormality [8]. <br><br>


== Physical Therapy Management (current best evidence)  ==
== Physical Therapy Management (current best evidence)  ==

Revision as of 03:35, 22 March 2016

 

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Definition/Description[edit | edit source]

 

Prevalence[edit | edit source]

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Characteristics/Clinical Presentation[edit | edit source]

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Associated Co-morbidities[edit | edit source]

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Medications[edit | edit source]

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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]

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Etiology/Causes[edit | edit source]

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Systemic Involvement[edit | edit source]

     Urinary Tract infections that are left untreated may lead to many complications, including urosepsis, systemic inflammatory response syndrome (SIRS), and chronic kidney infections. Sepsis associated with UTIs often requires hospitalization [5]. Urosepsis spreads into the bloodstream from its origin in the urinary tract. Kidney infections also progress to the blood stream, referred to as septicemia [9]. This complication can be life threatening. Systemic inflammatory response syndrome can also become life threatening if treatment fails. SIRS is usually the first incidence of multi-organ failure [10].

Medical Management (current best evidence)[edit | edit source]

    Urinary tract infections are most commonly treated by antibiotic prescription. Frequently prescribed antibiotics include [8]:

  • Nitrofurantoin
  • Amoxicillin
  • Trimethoprim
  • Fluoroquinolones

Antibiotics are usually taken anywhere from 3 days to 10 days, depending on severity of symptoms, comorbidities, complications of infection, and dosage [1] [8]. Overutilization of antibiotics is a common issue, particularly in hospitals and long term facilities, which may cause patients to develop resistance to the medication over time [1].
     Alternative treatment includes the use of probiotics, ensuring proper hydration, drinking cranberry juice, and urinating frequently [2] [5] [9]. Using a heating pad on the patient’s lower back or abdomen may also help the symptoms of the UTI [9]. Surgery may be required in the presence of an anatomical abnormality [8].

Physical Therapy Management (current best evidence)[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Case Reports/ Case Studies[edit | edit source]

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Resources
[edit | edit source]

American Urological Association
http://www.auanet.org/education/adult-uti.cfm

NYU School of Medicine Department of Urology
http://www.med.nyu.edu/urology/patient-care-information/conditions-we-treat/recurrent-urinary-tract-infections#diagnosis

European Association of Neurology
http://uroweb.org/wp-content/uploads/19-Urological-infections_LR2.pdf

Choices in Health
http://choicespc.net/physical-therapy-for-urinary-problems-and-pelvic-floor-dysfunction/

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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