1. Urinary Tract Infection
中國醫藥大學 附設醫院
感染科主任 王任賢

2. Urinary tract infection
Pyelonephritis
Renal, pararenal, & perirenal abscess
Cystitis
Prostatitis
Epididymitis
Urethritis

3. Acute pyelonephritis Pathogenesis ascending vs descending
Pathogen ascending: E. coli >>P. mirabilis descending: S. aureus, GAS, Candida
Clinical presentation fever + GI symptoms flank pain, frequency, urgency
Diagnosis urine culture vs urine routine

4. Renal, pararenal, & perirenal abscess
As a complication of chronic PN
Metastatic infection location: trauma site, cortex border pathogen: S. aureus, GAS, Candida
Clinical presentation flank pain >> GI symptoms

5. Cystitis DDx of upper UTI vs lower UTI Usual ascending infection
Clinical presentation frequency, urgency >> GI symptoms less fever
Short course antibiotics treatment

6. Urethritis Female vs male
Clinical presentation discharge, micturation pain, meatus itching
Diagnosis urethral discharge urethral smear: WBC>5/HPF
Pathogen gonococcus, C. trachomatis

7. Prostatitis Acute prostatitis high fever + frequency, urgency
Chronic prostatitis frequent relapsing UTI
Diagnosis prostate massage post massage vs midstream urine

8. Epididymitis Clinical presentation unilateral scrotal swelling + fever
Pathogenesis from cystitis from urethritis

9. TB kidney Descending infection Renal calcification
Kaleidoscopic urinalysis
Beaded ureter, contracted bladder, Golf hole
Can involve testis

10. 懇 請 賜 教