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