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UTI
Keila Saraí Cáceres Espíndola
Created on June 6, 2023
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Transcript
Symptoms
Immune response
Virulence factors of pathogens
Cytokines
Inflammation exacerbates
The pilli allows adhesion to renal parenchyma and the proliferation increases
Bacteria ascends ureteres
Fecal bacteria access urethra
Bacterial entry
Predisposing factors
S. Saprophyticus
Proteus
Group B streptococcus
Enterococcus
Klebsiella
E. coli
Bacteria entering the urinary tract from nearby vagina and perineum
Pathogenesis of UTI
Determine upper or lower UTI
Differential diagnose
UTI highly probable
Positive Gram for urine
Positive Test strip
Suspectious
Consider cystitis, uretritis, vaginitis
PYELONEPHRITIS
Symptoms of uppper tract involvement?
Recurrent UTI
Recurrent episode?
Complicating factors?
Asymptomatic bacteuria
Complicated UTI
Symptomatic?
Oseltamivir -(first choice)/ oral route
Bloody diarrhea
NO
NO
NO
NO
NO
YES
YES
NO
NO
YES
YES
YES
YES
YES
Approach of UTI