Pathogenic Microorganisms (Eschericia Coli.

Proteus, Klebsiela, Enterobacter)

Through blood stream (hematogenous pread) Predisposing Factor: Hygiene, DM, impaired voiding, Prostatic hypertrophy, renal stones, pregnancy,

Ascending Infection by coliform bacteria in distal urethra and introitus Protective mechanism that make the environment sterile loss of resistance to invading organisms, incomplete emptying of the bladder LOWER UTI

Fistula in intestine (direct extension)

Cystitis

Urethritis

Prostatitis

Signs and Symptoms: frequent pain, burning on urination or dysuria, frequency, urgency, nocturia, incontinence, suprapubic or pelvic pain, uncontrolled loss of urine Ascending from urethra to Bladder Colonization of bacteria to the inner lining of Bladder Organism introduced are cleared by continual flushing of voiding and Antibacterial Mechanism: Activation of Glycosaminoglycan (GAG) and IgA Impairment of mechanisms can cause outflow and bladder dysfunction Incomplete emptying and increased residual volume

Continuous multiplication causes incompetence of vesicoureteral valve Ascend to renal pelvis (renal parenchyma)

UPPER UTI

Pyelonephritis

Instestinal Nephritis

Renal Abscess

Perirenal Abscess

Signs and symptoms: Fever chills, flank or low back pain, nausea, vomiting, headache ,malaise, painful urination Worsening complications affecting major regulatoy functioning to maintain homeostatsis

DEATH
Nursing Diagnosis: Impaired urinary elimination related to UTI as manifested by frequency urgency, nocturia and retention of urine Urge urinary incontinence related to bladder dysfunction as manifested by urinary urgency Reflex urinary incontinence related to tissue damage (cystitis, inflamed bladder) as manifested by urge to void and abdominal discomfort Urinary retention related to infection as manifested by sensation of bladder fullness, frequent voiding, and residual urine Acute pain related to biological injuring agents (Upper and Lower Infection) as manifested by observed evidence of pain