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NURS 6501 NURS6501 NURS/6501 Week 10 Discussion Post Renal & Urologic Systems

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NURS 6501 NURS6501 NURS/6501 Week 10 Discussion Post Renal & Urologic Systems

Week 10 Discussion Post Renal & Urologic Systems
Urinary Tract Infections
According to Huether & McCance (2017), a urinary tract infection (UTI) is an “inflammation of the urinary epithelium usually caused by bacteria from gut flora”. UTI can be caused in any part of the system — your kidneys, ureters, bladder and urethra (Mayo Clinic, 2017).

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NURS 6501 NURS6501 NURS/6501 Week 10 Discussion Post Renal & Urologic Systems

Week 10 Discussion Post Renal & Urologic Systems
Urinary Tract Infections
According to Huether & McCance (2017), a urinary tract infection (UTI) is an “inflammation of the urinary epithelium usually caused by bacteria from gut flora”. UTI can be caused in any part of the system — your kidneys, ureters, bladder and urethra (Mayo Clinic, 2017).
UTI is categorized into lower and upper. Lower UTI includes cystitis and upper UTI include pyelonephritis (Huether & McCance, 2017). As a health care practitioner, it is imperative to know how to diagnose and treat these infections in a timely manner.
Pathophysiology of Lower and Upper Urinary Tract Infections
According to Huether & McCance (2017), acute cystitis is an inflammation of the bladder and is the most common site of UTI. The most common infecting microorganisms are uropathic strains of Escherichia coli and second most common is Staphylococcus saprophyticus (Huether & McCance, 2017).
Less common microorganisms include Klebsiella, Proteus, Pseudomonas, fungi, viruses, parasites, or tubercular bacilli and schistosomiasis is the most common cause of parasitic invasion of the urinary tract on a global basis, infecting more than 200 million people (Huether & McCance, 2017).
The contamination of the sterile urine usually occurs by retrograde movement of gram-negative bacilli into the urethra and bladder and then to the ureter andkidneys (Huether & McCance, 2017).
The infections caused by these bacteria initiates an inflammatory response and the symptoms of cystitis; the inflammatory edema in the bladder then stimulates discharge of stretch receptors initiating symptoms of bladder fullness with small volumes of urine and producing the urgency and frequency of urination associated with cystitis (Huether & McCance, 2017).
Acute pyelonephritis, on the other hand, is an infection of one or both upper urinary tracts (ureter, renal pelvis, and interstitium) (Huether & McCance, 2017). In comparison to acute cystitis, the microorganisms involved in acute pyelonephritis includeE. coli, Proteus, or Pseudomonas (Huether & McCance, 2017).
On a side note, these microorganisms also split urea into ammonia, making alkaline urine that increases the risk of stone formation (Huether & McCance, 2017). According to Huether & McCance

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