Posted: February 16th, 2022

. Urinary tract infections in women

Post 1


I agree with your discussion on the etiology and symptoms of UTIs in male, female, and pediatric patients. You discussed the signs and symptoms and the risk factors for each group concisely. In my discussion post, I did not delve into the risk factors instead of focusing on pathogens. I like how you indicated the risk factors, such as urine reflex or malformed urinary tract system in females, as a major UTI risk factor. Your post was very enlightening as young patients, especially girls, constantly face the challenge of continual hospital visits due to UTIs. Simple steps like wiping children from the back to front would prevent the introduction of bacteria into women’s and girls’ urethra.


Have you considered looking at UTI etiology in female, male, and pediatric patients from the organism that cause UTI? For instance, E. coli is the most common UTI causative agent in pediatric patients. Other organisms which cause UTI in children include E. aerogenes, K. pneumonia, P. mirabilis, P. aeroginosa, and Enterococcus spp. Among others (White, 2011).   


You might consider including education that the patients should not share their medication with others. Sharing the medication would be a challenge as it will affect medication regimen adherence and eventually lead to antibiotic resistance (Moser Woo & Robinson, 2020). 


Perhaps you can expand this discussion by addressing the issues of drug-drug interactions, potential side effects, and the impact of genetics on UTI’s etiology. Research indicates that FimH adhesion protein, a subunit of Type 1 fimbriae, plays a crucial role in E. coli’s pathogenic mechanism in a female patient’s urinary tract (Minardi et al., 2011).


Minardi, D., D’Anzeo, Cantoro, Conti, & Muzzonigro. (2011). Urinary tract infections in women: Etiology and treatment options. International Journal of General Medicine, 4, 333-343. https://doi.org/10.2147/ijgm.s11767

Moser Woo, T., & Robinson, M. V. (2020). Pharmacotherapeutics for advanced practice nurse prescribers (4th ed.). F. A. Davis Company. 

White, B. (2011). Diagnosis and treatment of urinary tract infections in children. American Family Physician, 83(4), 409-415. https://www.aafp.org/afp/2011/0215/p409.html



Post 2


I concur with your discussion post, particularly on the etiology, signs, and symptoms of UTI in male, female, and pediatric patients. However, I disagree with your position that “Men experience symptoms similar to pediatric patients.” Research indicates that UTI symptoms unique to adults include urethral pain, low back pain, costovertebral tenderness, and severe flank pain (Moser Woo & Robinson, 2020). Therefore, I disagree with the statement that you indicated. Overall, your post was very enlightening. You covered the etiology in-depth and offered some advice that can go a long way in preventing UTI occurrence in children and adults. 


When you said, “Nitrofurantoin is the first line of treatment for uncomplicated UTIs because it shows little resistance,” do I understand that Nitrofurantoin is appropriate for all patients, including pediatric, male, and female UTI patients? Moser & Woo (2020) noted that Nitrofurantoin is an effective treatment for lower UTIs, with a low E. coli resistance rate of 2.1 percent” (Moser Woo and Robinson, 2020). Did you consider that such an effective therapy should be reserved for women patients due to the high incidence of UTIs?


            You might consider tweaking your discussion on the prevention of UTIs as the discussion moves back and forth from the symptoms and signs back to etiology and prevention. The material used in the prevention would fit better under discussion, focusing on patient education. 


Perhaps you could repurpose the discussion of UTI prevention (within the first paragraph) of your post to the education section. You discussed good hygiene under education in paragraph 3. Combining the prevention element in paragraph 1 would enhance the flow of the information in your post. 


Moser Woo, T., & Robinson, M. V. (2020). Pharmacotherapeutics for advanced practice nurse prescribers (4th ed.). F. A. Davis Company. 

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