Bacteria or Yeast – Problematic Substances in Urine (Nursing)

by Prof. Lawes

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    00:00 Now what about bacteria or yeast, well, if you have fine bacteria in the urine, obviously, there's a bad sign but bacteria yeast in a urine culture could be an indicator of an infection.

    00:13 We report this as positive for bacterial or yeast.

    00:16 Now this point will we know what type of bacteria? No.

    00:20 Would we know if it's gram-positive? No.

    00:24 All these tells us that you have bacteria or yeast present in your urine.

    00:30 Now normal growth is a normal result that means there's no infection.

    00:33 But if you see positive for bacteria yeast on a urinalysis we've got something that probably needs to be followed up.

    00:42 Now just as I say that I'm going to talk about asymptomatic bacteriuria.

    00:47 Now what you know about breaking down words, we've got urea so we're still talking about urine bacter means bacteria.

    00:55 So I'm talking about somebody without symptoms asymptomatic bacteruria.

    01:01 That is the isolation of bacteria in an appropriately collected urine specimen you got from a person without symptoms of a UTI.

    01:10 Now if you've ever had a UTI, they're miserable, if you feel like you need to pee all the time, but when you do, not very much comes out and it burns and it's uncomfortable, people with asymptomatic bacteriuria don't have any of those symptoms.

    01:25 They have no idea that they have any type of problem that's why it's called Asymptomatic.

    01:32 So what are examples of patients who commonly have asymptomatic bacteriuria? Well two main categories.

    01:40 So we've talked about what asymptomatic bacteriuria is but should we treat it who most likely gets it? Well, I've got two pictures up there for you one of a catheter and one of a clearly pregnant person.

    01:54 These are the two groups of patients who are most likely to have asymptomatic bacteriuria.

    02:00 When it comes to catheters, we're talking about people who have prolonged catheterization or somebody uses intermittent clean catheterization, like people with spinal cord injuries.

    02:09 They often have asymptomatic bacteriuria.

    02:13 Now do we treat it? No, thumbs down.

    02:17 If someone who is not pregnant, but they have a spinal cord injury and they use clean catheterization or they have a chronic indwelling catheter.

    02:26 You just let it be, it just is what it is.

    02:28 Don't mess with it.

    02:30 There's is no need for antibiotics.

    02:32 Pregnant patients, what do you think? Yes or no? Yes, you do treat it with pregnant patients.

    02:40 So how you might see this on a test question is you might have a description of a patient who's pregnant, they had a positive sighting of bacteria under urine analysis, but they have no symptoms.

    02:53 Should you treat it? Yes.

    02:55 Would you expect the physician to treat it? Absolutely.

    02:59 So know that the most common categories are people with chronic catheter use whether it's indwelling or intermittent and pregnant patients.

    03:09 We don't treat the chronic patients.

    03:11 We do treat the pregnant patients.

    About the Lecture

    The lecture Bacteria or Yeast – Problematic Substances in Urine (Nursing) by Prof. Lawes is from the course Introduction to Urinalysis – Renal Assessment (Nursing).

    Included Quiz Questions

    1. A client who is pregnant and reports no symptoms
    2. A client who reports burning and pain during urination
    3. A client who reports needing to urinate more frequently than usual
    4. A client who has an indwelling catheter and reports no symptoms
    5. A client who uses clean catheterization and reports no symptoms

    Author of lecture Bacteria or Yeast – Problematic Substances in Urine (Nursing)

     Prof. Lawes

    Prof. Lawes

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