Renal System Conditions

What are Urinary Tract Infections caused by?

Pathogenic micro-organisms in the urinary tract

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UTI's are infections involving the lower and upper urinary tract. What are the names of these two infections?

Upper = Pyelonephritis
Lower = Cystitis

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How does the infection occur?

When bacteria gain access inside the urinary tract

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What are two of the main complications of UTI's?

1. Renal failure
2. Urosepsis

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What are some of the signs + symptoms of UTI's?

- Presentation of symptoms depends on the age of the child
- Non-specific in infants and fever not always present
- Babies = unwell, poor feeding, poor colour/ perfusion, lethargy/ irritability, and potentially sepsis
- Classic symptoms = dysuria (pain on

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How do you assess a CYP with UTI?

- History taking e.g. how long symptoms have gone on for and signs and symptoms experienced etc.
- Assess urinary pattern e.g. frequency, urgency, or hesitancy
- Assess characteristics of a patient's urine such as colour, concentration, odour, volume, and

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How do you diagnose a CYP with UTI?

- Pain related to infection + clinical suspicion
- Urinalysis (urine cultures). To be done via 'clean catch' method to prevent contamination of sample collected
- STI test (depending on age of child) e.g. are they sexually active
- CT-scan if nothing else

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How do you plan, manage, and implement care for a CYP with UTI?

- Dependent on age + severity of illness
- Antibiotics (oral or I.V. depending on age of child + severity of illness). Analgesia if required
- Plan for imaging to be done depending on presentation + age of child
- Anticipatory care plan (fluid-intake, per

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How do you evaluate care of a CYP with UTI?

- Pain score reduced + documentation
- Patient/ family understands UTI/ treatment plan/ preventative measures
- Follow-up appointment for those requiring imaging studies or further monitoring
-Has had no complications
- Understands that personal hygiene +

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Renal System Conditions

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