Urinary Tract Infections Pathway

Urinary Tract Infections caused by pathogenic microorganisms in the urinary tract. These microorganisms enter through: direct contact from the nearest site of infection, haematogenous, limfogen.
There are two main lines of the asending and haematogenous UTI.

    In asending namely:
        The entry of microorganisms preformance bladder, among others: anatomical factors in which the women have a shorter urethra than men, so a higher incidence of UTI, urinary stress factor during micturition, faecal contamination, installation of equipment into the urinary tract (examination of the use of catheter) , the existence of an infected pressure sores.
        The rise of bacteria from the bladder to the kidneys.

    In haematogenous namely:
    Often occurs in patients who lower the immune system so that facilitate the spread of infection is hematogenous There are several things that affect the structure and function of the kidney that facilitate hematogenous dissemination, namely: the existence of dams that resulted in total urinary bladder distention, the dam due to intrarenal scarring, etc. .

The occurrence of UTI in the elderly is often caused because of:

    Residual urine in the bladder-induced increase in bladder emptying is incomplete or ineffective.
    Mobility decreases
    Nutrients that are often less well
    System imunnitas yng decreased
    The existence of barriers to the urinary tract
    Loss of bactericidal effects of prostate secretions.

Residual urine in the bladder increased the lead to excessive distention causing pain, a condition resulting in decreased resistance to bacterial invasion and residual urine as a medium for bacterial growth which in turn will lead to impaired kidney function itself, then this state is hematogenous spread to the entire urinary tract . In addition, some things that predispose to UTI, among others: the existence of a proximal obstruction of urinary flow menakibtakan pressurized fluid accumulation in the renal pelvis and ureter are referred to as hidronefroses. A common cause of obstruction was: renal scarring, stones, neoplasms and prostate hypertrophy is often found in men over the age of 60 years.