CASE PRESENTATION OF UTI

Group Members
PATIENT DEMOGRAPHY

• Patient Name: Ms. X IP No: 08839

• date : 30.08.16.

• Age: 15 years Sex: F

• Department: OPD
CHIEF COMPLAINTS:
Flank pain and burning on urination of 3 days duration .
HISTORY OF PRESENT ILLNESS:
This patient presented with the complaint of Flank pain, Dysuria, and LGIF of 3 days
duration
No H/O trauma, chills, vomiting, difficult of urination, rashes, loose stools
No H/O cough with expectoration
PAST MEDICAL HISTORY:
Nothing significant
ALLERGY :(food/drug/other)
No known allergies.
General Examination: Conscious and coherent

1. Physical examination:
Vital signs:
Temperature ( oC ): 37.5 Pulse rate (/min): 80beats
Respiratory Rate (/min): 21 cycles
Blood Pressure (mm of Hg): 120/70 mm of Hg

2. Systems Examination:
• CVS: S1, S2 +
• RS: Clear
• GU &GI (ABDOMEN): Soft
Laboratory Data

• RBS 90
URINE ANALYSIS RESULT
Result Reference
standard/range
Color Yellow; hazy Clear to amber

protein +1 0 to +1

Blood +3 0 to trace

Ketone negative 0 to trace

Glucose 0 to trace

Bacteria None

WBC +1 0-5/hpf
ASSESSMENT:
Based on subjective & objective evaluation the physician confirmed it
as URINARY TRACT INFECTION
Treatment

• Ciprofloxacin 500 mg po Bid for 7 days

• Diclofenac 75 mg IM stat
• Diclofenac 50 mg po PRN
PHARMACIST INTERVENTIONS

• No DDI or ADRs were found.

• You should wipe from front to back after urinating or a bowel
movement. You should drink plenty of fluids. Drinking cranberry
juice may be helpful. Women prone to UTIs should avoid using birth
control methods such as a contraceptive diaphragm and spermicidal
jelly.
There are several ways you can prevent UTIs. You should keep your genital area
clean and wear clean, dry cotton underwear. You should wipe from front to back
after urinating or a bowel movement. You should drink plenty of fluids. Drinking
cranberry juice may be helpful.

Women prone to UTIs should avoid using birth control methods such as a
contraceptive diaphragm and spermicidal jelly. Women should not douche or using
similar feminine hygiene products. Women and girls should avoid bubble bath
products. Bubble baths do not cause a UTI, but they can irritate the urinary tract.

You should urinate after sexual intercourse. Some women consistently develop
UTIs after sexual intercourse. In these cases, doctors can prescribe an antibiotic
that is taken after sexual intercourse as a preventive measure.
REGARDING LIFE STYLE MODIFICATIONS:

• Patient is advised to maintain proper hygiene.

• Advised to drink plenty of water.
• Citrus juices should be taken.
• Limit caffeine intake
• Avoid OTC preparations.
• The patient given appropriate advice regarding transmission and re
infection.
Case Presentation: Urinary Tract
Infections (UTIs)
Target Audience: Clinical Students (Medicine, Medical lab, Nurse,
Environmental, Pharmacy, Midwifery, and Psychiatry)
Objectives:
Enhance understanding of the clinical presentation, diagnosis, and
management of UTIs.
Highlight the interdisciplinary approach required for effective UTI
care.
Emphasize the role of each healthcare profession in UTI
management.
 Diagnosis:

Based on

 clinical symptoms,

urinalysis,

 urine culture.
Clinical Presentation:

Symptoms: Dysuria (painful urination), frequency, urgency, hematuria

(blood in urine), or pyuria (pus in urine).

Physical Examination: Fever, costovertebral angle tenderness,

suprapubic tenderness.

Urinalysis: Bacteria, nitrites, leukocytes, or blood.

Urine Culture: Identifies the causative organism.

Management:
Medical:

Antibiotic therapy based on culture sensitivity.

Focused medical history and physical examination to rule out other

causes of urinary symptoms

Symptomatic treatment for pain and discomfort (e.g., analgesics,

antispasmodics).
Cont….
Nurse:

Assessment of symptoms and monitoring for complications.

Administration of medications and treatments.

Education on hygiene, fluid intake, and symptom management.

Cont…
Environmental:

Assessment of potential environmental risk factors and implementation of preventive

measures (e.g., improved sanitation, hygiene education).

Home environment assessment for potential sources of infection, such as

contaminated water or poor hygiene.

Pharmacy:

Dispensing antibiotics and providing medication counseling.

Monitoring for potential drug interactions and adverse effects.

Cont…
Midwife:
Education on pre- and postnatal care practices to prevent UTIs in
pregnancy.
Support for pregnant and postpartum women with UTIs.
Psychiatric:
Assessment for underlying mental health conditions that may
contribute to UTI symptoms (e.g., anxiety, depression).
Referral for appropriate mental health treatment.
Cont…
Laboratory
Specimen collection-collects urine samples from patient for testing
Microscopic examination
Culture and sensitivity testing
Interdisciplinary Involvement:
Collaboration between healthcare professionals is crucial for
comprehensive UTI management.
Regular communication and sharing of information among team
members ensures timely diagnosis, effective treatment, and
appropriate preventive measures.
Each healthcare profession brings its unique expertise and
perspective to the interdisciplinary approach, resulting in improved
patient outcomes.
Conclusion:
UTIs are common infections that require prompt and appropriate
management.
An interdisciplinary approach involving multiple healthcare
professions is essential for effective UTI care.
 By understanding the clinical presentation, diagnosis, and
management of UTIs, healthcare professionals can work together to
improve patient outcomes and prevent future infections.