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It details how UTIs, starting in the urethra and bladder (cystitis), can ascend to the kidneys if untreated, leading to more serious pyelonephritis. Key symptoms of UTI include fever, dysuria (burning during urination), and urinary frequency. Diagnostic tools for UTI involve urinalysis (checking for cloudy, smelly urine, WBCs, and nitrites) and urine culture and sensitivity to identify over 10,000 organisms/mL. A critical NCLEX tip emphasizes assessing first, then intervening. Pyelonephritis, or kidney infection, presents with dull flank pain extending toward the umbilicus, and potential kidney and ureteral pain. Causes include urinary retention due to BPH, holding urine, kidney stones, Foley catheters, and most commonly, E. coli entering the urethra, often from improper wiping (back to front). A severe complication is urosepsis, where the infection enters the bloodstream and can affect the brain, leading to confusion. The first action for suspected pyelonephritis is to obtain blood and urine cultures before starting antibiotics. Nursing interventions for UTIs include increasing fluid intake to 2000 mL daily, voiding after sexual activity, taking cranberry supplements, and avoiding caffeine, alcohol, douching, spermicidal contraceptives, perineal deodorants, synthetic fabrics, and bubble baths. Proper wiping from front to back is crucial. Pharmacological treatments include antibiotics like sulfonamides and levofloxacin, alongside analgesics such as NSAIDs and acetaminophen for pain management.",{"@graph":69,"@context":105},[70,84],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/uti-pyelonephritis-pediatrics-urinary-renal/27324/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/uti-pyelonephritis-pediatrics-urinary-renal/27324.png","ImageObject",300,407,{"name":92,"@type":93},"Jiven","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-18","2026-05-08",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction","https://schema.org",{"og:url":107,"og:type":108,"og:title":65,"og:site_name":95,"og:description":67},"https://docshare.wps.com/document/uti-pyelonephritis-pediatrics-urinary-renal/27324","article",{"robots":110,"canonical":107},"index,follow",{"doc_id":112,"site_id":62},27324,1778274727,{"code":4,"msg":5,"data":115},{"doc_id":112,"user_id":116,"nickname":92,"user_avatar":117,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":66,"file_id":118,"file_url":119,"file_type":120,"file_size":121,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":122,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":66,"faqs":66,"seo_title":123,"seo_description":67,"update_tm":113,"read_time":81},1099513958607,"https://ap-avatar.wpscdn.com/avatar/100002390cf8733938c?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778829742770036399","cbCaikpZRKT4mgog","https://ap.wps.com/l/cbCaikpZRKT4mgog","pdf",907660,"English","UTI & Pyelonephritis Pediatrics: Urinary & Renal | PDF"]