Urinary Tract Infections Irene Karrouze SNCCG The urinary

Urinary Tract Infections Irene Karrouze SNCCG

The urinary system

How well do you know your bladder How much urine can a bladder hold? What is the recommended times you should go to the toilet during the day? What is the recommended times you should go to the toilet during the night? How much fluid should you drink in a day?

What is a Urinary tract infection? -upper urinary tract infection -lower urinary tract infection

Symptoms of a urinary tract infection Pain or discomfort when urinating Cloudy smelly urine Increased confusion or delirium (particularly in dementia) A need to urinate more A high temperature or fever above 38 degrees Uncontrollable shivering Feeling sick (nausea) Vomiting or diarrhoea Blood in urine

Who is at risk of developing a UTI? Anyone can develop a UTI, and for most it will clear up after a few days without the need for antibiotics. However the elderly, and people who have other long term conditions such as diabetes are at higher risk of developing a UTI.

Catheter associated urinary tract infection § Invasive device § Bacteria will build up around catheter after 7 days insitu § Do not use a urine dipstick to diagnosis a UTI § Take sample from port not bag § Hygiene and secure catheter § catheter passport § And individual care plan

How to prevent Urinary tract infections? Hydration Ask the question is my resident dehydrated or have an infection?

Hygiene Vaginal atrophy Incontinence (cross Contamination)

Enlarged prostate (men) Avoid constipation Emptying the bladder to completion Medication review

Diagnosing a UTI Urine dipstick Collecting a MSU/CSU Assessment if resident has a possible UTI When to start antibiotics When to investigate Red flags

Take home message Do not use urine dipstick testing to diagnosis a UTI Negative dipstick testing rules out a UTI should be diagnosed with the presence of signs and symptoms