Cystitis

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CYSTITIS

Presented by-
Subhashree Chiney
Student of 4th semester
Govt. CON, BSMC,
Bankura
Objectives of this topic:
1. Definition
2. Anatomy and Physiology of urinary bladder
3. Etiology
4. Risk factors
5. Pathophysiology
6. Clinical manifestations
7. Diagnostic evaluation
8. Management of cystitis
9. Prevention
CYSTITIS

Cystitis is an infection causing inflammation of the bladder that almost


always follows (is secondary to) bacterial infection in the urine. It is the
most common type of lower urinary tract infection (UTI), particularly in
women.
Anatomy and
physiology of Urinary
bladder
This triangle-shaped, hollow organ is located in the
lower abdomen. It is held in place by ligaments that
are attached to other organs and the pelvic bones.
The bladder's walls relax and expand to store
urine, and contract and flatten
to empty urine through the urethra.
The typical
healthy adult bladder can store up to two cups of
urine for two to five hour.
Etiology of Cystitis
• Bacterial infection mainly by E.coli
• Healthcare associated UTI
• Vesicoureteral reflux
• Constipation
• Stress
• Eating too much spicy salty foods
• Alcohol
• Pregnancy
Risk factors of Cystitis
• Contributing conditions such as:
 Female gender
 Diabetes
 Pregnancy
 Neurologic disorders
 Gout
 Altered states caused by incomplete emptying of the bladder and urinary
stasis
• Immunosuppression
• Inability to empty the bladder completely
• Instrumentation of the urinary tract (e.g., catheterization,cystoscopic
procedures)
• Obstructed urinary flow caused by:
 Congenital abnormalities
 Urethral strictures
 Contracture of the bladder neck
 Bladder tumors
 Calculi (stones) in the ureters or kidneys
 Compression of the ureters
Pathophysiology

Cystitis
Clinical manifestations of Cystitis

• Burning sensation on urination


• Urinary frequency (voiding more than every 3hours)
• Urgency
• Nocturia
• Incontinence
• Suprapubic or pelvic pain
• Strong smelling urine
• Urine is dark cloudy
• Haematuria
• Feeling sick and tired
Assessment and Diagnostic findings

• History
• Physical examination
• Urine culture
• Cellular studies
• Other studies
 Leukocyte esterase test
 Nitrite testing
 X-ray
 CT scan
 USG
Management of -
Cystitis
• Medical management:

Drug classes Generic name

1. Anti-infective,urinary Nitrofurantoin
tract Cefadronil(Duricef)
2. Cephalosporin Ciprofloxacin(Cipro),
3. Fluoroquinolone Levofloxacin(Levaquin)

4. Trimethoprim- Co-
sulfamethoxazole trimonazole(bacterium,
combination septra)
5. Urinary analgesic Phenazopyridine(Pyridiu
agent m)
• Nursing management:
Nursing diagnosis-

1. Acute pain related to difficult or painful urination as


evidenced by patient’s verbalization.

2. Impaired urinary elimination related to infection of the


urinary tract as evidenced by urge to urinate frequently.

3. Knowledge deficit related to predisposing factors of


infection, recurrence, prevention and treatment as evidenced
by frequent questioning about the disease and it’s treatment.
Prevention
DO’s:
• Drinking plenty of fluids, especially water so as to urinate regularly and
to not feel thirsty.
• Practicing good hygiene.
• Wearing loose underwears.

DON’T’s:
• Avoiding to hold the urge to urinate for long periods of time.
• Avoiding drinking of alcohol and coffee that irritates the bladder
• Avoid eating too much sweets as they encourage bacterial growth.
Any
doubt...?
Summary…
Thank
you...

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