Final answer:
The nursing care plan for UTI and wound infection due to a perineal fistula includes administering prescribed antibiotics, managing dysuria pain, ensuring proper hygiene, monitoring signs of sepsis, maintaining adequate fluid intake, providing wound care, supporting nutrition, educating the patient, and frequent follow-ups.
Step-by-step explanation:
Nursing Care Plan for UTI and Wound Infection Due to Fistula
The nursing care plan for a patient with a UTI and wound infection resulting from a fistula in the perineum should be multifaceted. First, it's important to administer the prescribed antibiotics, such as ciprofloxacin or other appropriate antimicrobials based on the sensitivity and culture results of the bacteria. In the case of a resistant strain of bacteria, such as Klebsiella pneumoniae with carbapenem resistance, alternative antibiotics may be required. Pain management is also crucial, and may include medications for dysuria (painful urination). Nursing interventions should focus on promoting proper hygiene to prevent further introduction of bacteria, monitoring for signs of sepsis, and ensuring adequate fluid intake to flush out the urinary tract. Wound care for the fistula includes regular cleaning, assessment for signs of further infection, and application of appropriate dressings and topical antibiotics as needed. The patient's nutritional status and overall health should be supported to promote healing and recovery. It is also vital to educate patients on the importance of completing the full course of antibiotics, recognizing signs of infection, and proper catheter care if applicable. Regular follow-ups and monitoring of white blood cell counts, as well as imaging studies such as CT scans, may be necessary to ensure resolution of the infection and healing of the wound.