Urinary Tract - Joy's

• urinary tract barriers to infection


  urine flow

  desquamation

  IgA

  Lysozyme
• what components of the urinary system are sterile?

  kidneys

  bladder
• what part of the urinary system is NOT sterile?

  urethra

  distal end
• normal flora of urinary tract MEN


  skin flora
• normal flora of urinary tract WOMEN


  skin and fecal
• what kind of infections of the urinary tract do women mostly get?


  ENDOGENOUS infections

  comes from you
• three types of UTIs


  urethritis

  cystitis

  pyelonephritis
• urethritis


  inflammation of the urthera
• cystitis


  bladder infection
• pyelonephritis


  kidney infection
• procedure for speciment collection for UTI


  plate 0.01 ml

  take the count x 100
• 3 types urine specimens


  CCMS

  Catheter

  Suprapubic Aspirate
• CCMS


  clean-catch midstream

  urine specimen
• Catheter specimen


  Collected under sterile conditions using catheter
• suprapubic aspirate


  draw urine direct from bladder

  STERILE
• bacterial causes of UTI


  E.coli

  Enterococcus

  Leptospira
• e.coli (UTI bacteria) plate results

  LF so dark pink on MacConkey

  is a coliform
• enterococcus (UTI bacteria) plate results


  GPC

  gamme hemolytic

  catalase negative

  group D
• what is true about enterococci and treatment?


  they are naturally antibiotic resistant
• leptospira shape


  spirochete
• how is leptospira spread?

  via animal urine contaminated water

  FLOODING

  enter though wound abrasions
• what is true about people who get a leptospira infection?


  most are assymptomatic
• primary infection of leptospira

  in blood

  high fever

  chills

  headache
• weils disease


  secondary infection of leptospira

  immune complication

  jaundice

  anemia

  neuorlogical damage

  liver & kidney damage
• what is true about weils disease and treatment options?

  antibiotics will NOT help
• genital tract barriers to infection

  cilia

  mucus membranes

  vaginal pH ( acid protective)
• normal flora of gential tract MEN


  just have skin flora
• normal flora of genital tract WOMEN


  lactobacillus (GPR)

  secretes acid that contributes to vaginal pH
• genital lesion diseases


  syphilis

  chancroid

  genital herpes
• bacteria that causes syphilis

  treponema pallidum
• shape of treponema pallidum

  spirochete
• stages of syphilis disease


  primary lesions

  secondary rash all over

  latent can last years

  tertiary gumma lesions (death)
• two test for syphilis


  VDRL

  RPR
• what a syphilis infection also be?

  can be a congential infection
• bacteria that causes chancroid

  Haemophilus ducreyi
• how do you culture haemophilus ducreyi


  on chocolate agar
• gram stain of haemophilus ducreyi


  GNR (gram negative rod)
• gential herpes


  caused by a virus

  fluid filled genital lesions burning sensation
• HPV


  virus that causes gential warts
• are genital warts lesions

  NO they are just warts