UrinaryTractInfection尿路感染全英文.ppt

Pathology Interstitial edema Neutrophil infiltration White blood cell cast In microscopy Clinical Presentation Clinical presentation（1） Cystitis Burning pain Frequency, urgency Suprapubic pain Dysuria Clinical presentation（2） Urethritis Burning pain Frequency, urgency Dysuria Infected with sexually transmitted pathogens Clinical presentation（3） Acute Pyelonephritis All cystitis symptoms（+）or（-） Fever, shaking chills Nausea, vomiting, diarrhea Tachycardia, hypotention Muscle tenderness Costovertebral angle（CVA） pain Gram-negative sepsis , Leukocytosis Leukocyte casts in the urine Clinical presentation（4） Catheter-Associated UTIs Bacteriuria develops in at least 10 to 15% of hospitalized patients with indwelling urethral catheters. The risk of infection is 3 to 5% per day of catheterization. Many infecting bacteria display markedly great antimicrobial resistance. How is it diagnosed? Diagnosis Patient history Complete physical examination Urine culture Urine analysis Other examinations Microscopic Examination Pyuria WBC 5 / HP Bacterial colony counts 105 / ml Diagnosis Diagnosis Dipstick Methods Leukocyte esterase + Nitrite + Urine routine: pH, sg, protein, glucose, blood, ket, etc. Clean urine culture: bacterial counts 105 /ml Suprapubic puncture, catheter collected urine 102/ml Significant bacteriuria Microscopic bacteriuria Urine Culture Test (very important) Diagnosis Localization of UTI （No definite standard method） Ultrasonography Intravenous pyelography（IVP） Abdominal CT / MRI Urinary Tract InfectionWu YitaiDepartment of NephrologyTongji Hospital, Tongji University  Content Definitions Epidemiology Etiology Pathogenesis Pathology Clinical presentation Diagnosis Treatments Complication Prevention Definition of UTI UTI is defined