- dysuria (painful or difficult urination), burning on urination, frequency (voiding more
than every 3 hours), urgency, nocturia, incontinence, and suprapubic or pelvic pain.
Hematuria and back pain may also be present
Gerontologic Considerations
- High incidence of chronic illness
- Frequent use of antimicrobial agents
- Presence of infected pressure ulcers
- Immunocompromise
- Cognitive impairment
- Immobility and incomplete emptying of bladder
- Use of a bedpan rather than a commode or toilet
Diagnosis
- UA: puss cells > 4,? hematouria
- C&S.
- WBCs
Medical Management
- Pharmacological agents according to C&S
- Patient should be instructed to complete the antibiotic course
UTIs – Nursing Care
- Assessment
- Impaired Urinary Elimination
- Readiness for Enhanced Self Health Management
- Teaching
Acute Pyelonephritis
- Clinical Manifestations
- Chills, fever, leukocytosis, bacteriuria and pyuria.