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Egi Nabila

Saraswati Annisa
Outline
 Definition
 Classification
 Epidemiology
 Etiology
 Risk Factor
 Sign & Symptom
 Pathogenesis
 Diagnosis
 Treatment
 Prevention
 Conclusion
Definition
 What is the urinary tract?
Classification
Pyelonephritis

Upper UTI

Ureteritis

Anatomic Site
Cystitis

Lower UTI Urethritis

Prostatitis
Classification

Uncomplicated Normal urirany


UTI tract

According
to Degree

Anatomic and
Complicated UTI functional
abnormalities
Epidemiology

 The second
most common type of
infection in the body
 About 8.1 million visits
to health care
providers each year
Common in women
WHY?

The female urethra :


• Short length
• Proximity to anus
Rare in Males 8% of girls and 2% of boys will
have UTI in childhood

Incidence increases
markedly in the elderly
Etiology

Escherichia coli: 70 - 95% Staphylococcus


saprophyticus: 10 - 15%

 Proteus, Klebsiella, Seratia, Pseudomonas


Risk Factor
Female

Previous
Age
UTI

Immuno
suppress
ion
UTI Pregnan
cy

Urinary
Sexual
tract
intercou
obstructi
se
on
Catheteri
zation
Signs & Symptoms

Suprapubic pain Disuria Flank pain

Urgency & Frequency


Hematuria Nokturia
Signs & Symptoms

Lower
abdominal pain
Pyuria

CVA tenderness
Pathogenesis
Diagnosis
 Anamnese
 Symptoms of UTI
 Physical Exam:
 CVA tenderness (pyelonephritis)
 Urethral discharge (urethritis)
 Tender prostate on DRE (prostatitis)
 Labs: Urinalysis (midstream urine)
 + leukocyte esterase
 + nitrites
 + Bakteriuria
 + Pyuria
 + Hematuria
Diagnosis
Urine culture BNO (Blass Nier Oversich, in
English KUB/Kidney Ureter
Bladder)
Sensitivity test

Ultrasonography
Treatment

Medications
Uncomplicated lower UTI
 3 day course of antibiotics
Uncomplicated upper UTI
 7 – 10 days course of antibiotics

First line antibiotics: trimethoprim-sulfamethoxazole


(TMP-SMZ), or quinolone antibiotic such as
ciprofloxacin (Cipro)
Complicated UTI
- Based on culture and sensitivity test
- Broad spectrum antibiotics: 14 days
- Recurrent : Antibiotics: 6 weeks
- For kidney failure: antibiotics dose adjusted

Pain: analgesics, urinary analgesics, antispasmodic


medications
Complication

 Acute Kidney Injury


 Urosepsis
 Kidney Papillary Necrosis
 Urinary tract Stone
 Supuration / Abcess
 Granuloma
Prevention
Drink plenty of water everyday Don’t delay your micturition

Urinate and wash your


genital area before and
after sexual intercourse
Drink cranberry juice

• Always wipe from front to back after


micturition or defecation
• Wear cotton underwear
• Avoid use of commercial feminine
hygiene products or douches
• Empty bladder after intercouse and
wash genitalia regularly
Conclusion
Question?
Thank you for your attention