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Herbs In Treatment Of Urinary Tract Infections
Manish Wasamwar,Vijay S.Wadha,Gopal S. Gond
Indian Streams Research Journal , 2012,
Abstract: It is known that urinary tract is very common source of infection and UTIs are second most common reason people visit their doctors each year. Escherichia coli is responsible for large majority of UTIs. UTIs is most commonly diagnosed bacterial infection in woman. Population at risk of complication include older woman, pregnant woman. Continuous antibiotics prophylaxis are used to treat and prevent recurrent urinary tract infections, frequent antibiotic use can result in vaginal and intestinal dysbiosis as well as antibiotic resistance. Thus, it is desirable to seek alternative methods of prevention and treatment of simple UTIs. Few herbal antimicrobial agents Vaccinium macrocarpon (Cranberry), Vaccinium myrtillus (Bilberry; Blueberry), Berberine, Arctostaphylos uva ursi (Bearberry) are proved to be very effective in preventing and treating urinary tract infections.
Urinary Tract Infections in Children  [cached]
Mustafa Taskesen,Aysun Karabay Bayazit
Arsiv Kaynak Tarama Dergisi , 2009,
Abstract: Urinary tract infections (UTI) are frequent conditions in children. Untreated urinary tract infections can lead to serious kidney problems that could threaten the life of the child. Therefore, early detection and treatment of urinary tract infection is important. In older children, urinary tract infections may cause obvious symptoms such as stomach ache and disuria. In infants and young children, UTIs may be harder to detect because of less specific symptoms. Recurrences are common in children with urinary abnormalities such as neurogenic bladder, vesicourethral reflux or those with very poor toilet and hygiene habits. This article reviews the diagnostic approach and presents the current data related to the roles of radiologic imaging, surgical correction and antibiotic prophylaxis of UTIs in children. [Archives Medical Review Journal 2009; 18(2.000): 57-69]
URINARY TRACT INFECTIONS IN PREGNANCY
KY Loh,N Sivalingam
Malaysian Family Physician , 2007,
Abstract: Urinary tract infections frequently affect pregnant mothers. This problem causes significant morbidity and healthcare expenditure. Three common clinical manifestations of UTIs in pregnancy are: asymptomatic bacteriuria, acute cystitis and acute pyelonephritis. Escherichia coli remains the most frequent organism isolated in UTIs. All pregnant mothers should be screened for UTIs in pregnancy and antibiotics should be commenced without delay. Urine culture and sensitivity is the gold standard in diagnosing UTIs. Without treatment, asymptomatic bacteriuria in pregnancy is associated with preterm delivery, intrauterine growth retardation, low birth weight, maternal hypertension, pre-eclampsia and anaemia. Acute pyelonephritis can lead to maternal sepsis. Recurrent UTIs in pregnancy require prophylactic antibiotic treatment.
Risk Factors for Recurrent Urinary Tract Infections  [PDF]
Serda Gülsün,Pa?a G?kta?
Dicle Medical Journal , 2004,
Abstract: To evaluate risk factors associated with recurrent urinary tract infections,we conducted a case- control study comparing 400 patients referred to aninfectious diseases outpatient clinic who had a history of recurrent urinary tractinfections (case patients) with 400 age, sex-matched control patients without ahistory of urinary tract infections. The distribution of 400 case patients to thegroups; 200 were women, 100 were men and 100 were children. 100 womenwere from 18 through 40 years of age (premenopausal) and 100 of them wereover 40 years of age (menopausal).Each patient completed a questionnaire providing an earlier history ofurinary tract infections, frequency of repeat episodes of urinary tract infections,having maternal history of urinary tract infections, recent antibiotic use,urogenital surgery history, marriage status and hygienic measures. In addition,physical examination of genitourinary system and laboratory investigation wasdone.In conclusion; our data support the view that some common factorsimportantly influence the incidence of recurrent urinary tract infections amongdifferent groups such as premenopausal, menopausal, men and childrengroups. These factors are; history of urinary tract infections, having urinarytract infections under the age of 15, recent antibiotic use in last one yearsperiod, urogenital surgery history and inappropriate hygienic measures.
Characteristics of urinary tract infections in elderly outpatients from Zagreb region  [PDF]
T. Marijan,A. Mlinari?-D?epina,J. Vrane?,V. Leskovar
Medicinski Glasnik , 2007,
Abstract: Urinary tract infections (UTI) are considered to be the most frequent human infections. Elderly people are especially prone to those infections. The aim of this study was to compare the characteristics of UTI in elderly patients with patients younger than 65, and to find any possible differences in incidence and etiology between those two groups. Between 1 January and 31 October 2005 at the Zagreb Institute of Public Health 22046 urine samples from City of Zagreb and Zagreb region outpatients were cultivated. A total of 6,310 samples was collected from elderly patients (≥65 years). In elderly populations with UTI, male to female ratio was 1:1.7, while in patients younger than 65 years the ratio was 1:5. The difference in the incidence of UTI according to age and gender was observed. In elderly population the urinary tract pathogens showed significantly higher resistance rates to fluoroquinolones (p<0.01), whereas in male patients higher resistance rates were found to beta-lactams, aminoglicosides and cotrimoxazole as compared to women irrespective of age (p<0.01). In elderly persons changes in health also affect the features of UTI. There is a constant need to monitor the epidemiology and resistance of urinary tract pathogens to assure an appropriate antimicrobial therapy.
Urinary tract infections and related symptoms in patients with gynecological
Serra KAMER,?zlem AKAGüNDüZ,Zeynep ?ZSARAN,Mustafa ESASSOLAK
Turkish Journal of Oncology , 2008,
Abstract: OBJECTIVES: The purpose of this study was to evaluate the genitourinary symptoms and the risk of urinary tract infections in patients with gynecological malignancy treated with radiotherapy. METHODS: Mid-stream specimens of urine were collected and urine cultures were performed in 45 patients with gynecological malignancy; genitourinary symptoms were recorded during pelvic radiotherapy. RESULTS: Before the treatment, urinary tract infections were detected in four patients, while during the treatment seven patients had positive urine cultures. Dysuria was recorded in five patients before radiotherapy, and at the end of treatment, 40 cases experienced grade 1 or 2 dysuria. No significant relationship was detected between urinary tract infection and clinical genitourinary symptoms. CONCLUSION: The most effective method to define urinary tract infection in patients with gynecologic malignancies is urine culture during the treatment. Routine prophylactic antibiotherapy is not recommended because of the low risk of infection during radiotherapy.
Do urinary tract infections affect morale among very old women?
Irene Eriksson, Yngve Gustafson, Lisbeth Fagerstr?m, Birgitta Olofsson
Health and Quality of Life Outcomes , 2010, DOI: 10.1186/1477-7525-8-73
Abstract: In a cross-sectional, population-based study, 504 women aged 85 years and older (range 84-104) were evaluated for ongoing UTI. Of these, 319 (63.3%), were able to answer the questions on the Philadelphia Geriatric Center Morale Scale (PGCMS) which was used to assess morale or subjective wellbeing.In the present study sample of 319 women, 46 (14.4%) were diagnosed as having had a UTI with or without ongoing treatment when they were assessed. Women with UTI with or without ongoing treatment had significantly lower PGCMS scores (10.4 vs 11.9, p = 0.003) than those without UTI, indicating a significant impact on morale or subjective wellbeing among very old women. Depression (p < 0.001), UTI (p = 0.014) and constipation (p = 0.018) were the medical diagnoses significantly and independently associated with low morale in a multivariate regression model.As UTI seems to be independently associated with low morale or poor subjective wellbeing, there needs to be more focus on prevention, diagnosis and treatment of UTI in old women.Urinary tract infection (UTI) is among the most common bacterial infections in women of all ages but the incidence increases with older age. Almost half of all women have suffered from at least one UTI sometime during their reproductive years and this increases to at least 60% in postmenopausal women [1-3]. Important risk factors are oestrogen deficiency, urinary retention, urinary incontinence, a prior history of UTI, sexual activity and diabetes [2-5]. UTI in older patients can be a complex problem in terms of approach to diagnosis, treatment and prevention because in older patients it frequently presents with a range of atypical symptoms such as delirium, gastrointestinal signs and falls [6-11]. Caregivers may not always understand the impact that an apparently trivial illness such as UTI has on the patient and successful treatment from a medical point of view may not always translate into enhanced quality of life [12].Although uncomplicated UTI
Urinary tract nosocomial infections at the Clinical centre in Kragujevac  [PDF]
?or?evi? Zorana,Ili? Milena
Srpski Arhiv za Celokupno Lekarstvo , 2012, DOI: 10.2298/sarh1204184d
Abstract: Introduction. Urinary tract infections are the most frequent hospital infections and account for about 40% of total hospital infections. The main risk factor for their development is the use of catheters. Objective. Assessment of basic epidemiological and etiological characteristics of nosocomial urinary tract infections (NUTIs) and investigation of differences in risk factors among the patients with NUTIs with and without the urinary catheter. Methods. The study comprised patients treated in chosen units/ of the Clinical Center in Kragujevac, in whom NUTI was registered during 2009. Differences in risk factors for NUTIs between the catheterized and uncatheterized patients were tested by the logistic regression analysis. Results. NUTIs was registered in 162 patients whose average age was 66.2±13.5 years with approximately equal gender participation (51.2% men and 48.8% women). Almost three quarters of the patients with NUITs had indwelling urinary catheter, 12.0±7.7 days on average (from 1 to 39 days). In the patients with urinary catheter, the risk for NUITs was significantly positively associated with emergency admission to hospital treatment (p=0.0185). The uncatheterized patients had a significant frequency of malignant tumours comparing to the patients with a urinary catheter (p=0.039). The compared groups did not differ in other risk factors. The most frequently isolated microbial agents was Klebsiella spp (37.3%), then Pseudomonas aeruginosa (14.1%) and Proteus mirabilis (11.9%). Most of the bacteria showed a great level of resistance to frequently used antibacterial drugs, even up to 100%. Conclusion. It is necessary to define national recommendations for the prevention and control of NUTIs in the future.
Urinary Tract Infections Identified in the Preoperative and Their Sensitivities to Antibiotics  [PDF]
Amadou Kassogué, Fadima Tall, Daouda Diallo, Drissa Cissé, Zanafon Ouattara
Open Journal of Urology (OJU) , 2018, DOI: 10.4236/oju.2018.85018
Abstract: Introduction: Urinary tract infection is a public health problem. Patients who have to undergo urology surgery are exposed to infectious complications if there is an untreated urinary tract infection. The objective of our study is to identify all the germs responsible for urinary tract infections discovered in the preoperative assessment of hospitalized patients with their susceptibility and antibiotic resistance profiles. Patients and Methods: This is a retrospective and descriptive study of 124 cases of cytobacteriological examination of urine collected over 2 years from January 1st, 2016 to December 31st, 2017, performed in the urology department of the University Hospital of Bocar S. Sall of Kati. The parameters studied were: age, sex, reason for admission, the diagnosis chosen, the result of the cytobacteriological examination of urine and the antibiogram. Results: We collected 124 cases of cytobacteriological examination of urine during this period. The average age of our patients was 58 years old with extremes ranging from 3 years to 84 years. The sex ratio was 6 in favor of men. 86 patients, or 69%, were admitted for micturition disorders. In 53.2%, the diagnosis was BPH followed by urolithiasis 22.6%. Cytobacteriological examination of urine identified 55 cases of urinary infection, 44%. In 34 cases or 60%, the germ responsible was an E. coli. Two germs were sensitive only to one antibiotic. Conclusion: This study made it possible to have an idea about the antibiotic susceptibility of germs involved in urinary tract infections. Awareness-raising for the proper use of antibiotics needs to be strengthened to minimize the risk of increasing antibiotic resistance.
Urodynamic study in children with recurrent urinary tract infections
Madani A.,Pournasiri Z,Kajbafzadeh A.M.,Attaee N
Tehran University Medical Journal , 2007,
Abstract: Background: Impairment in the function of the lower urinary tract can be the cause of recurrent urinary tract infections (UTI) and vesico-ureteral reflux (VUR) in children. The purpose of our research was to evaluate the frequency of occurrence of bladder instability in children with UTI.Methods: The research involved 133 children (11 boys, 122 girls), ranging in age from seven months to 14 years. Group A consisted of 78 children with a history of recurrent UTI, while Group B included 55 children with recurrent UTI and VUR. Urodynamic tests (cystometry) were performed on all the children.Results: Abnormal functioning of the lower urinary tract was found in 98 children (73.1%) from Group A and 41 children (78.8%) from Group B. The most common dysfunction was detrusor-sphincter dyssynergia (DSD), which was found in 54% of all subjects, 46.2% of patients in Group A and 60% of patients in Group B (p<0.05). Unstable bladder was found in 42 (33%) children with no significant difference between the two groups. In 17 children (12.6%) DSD was accompanied by bladder instability. In both groups about 20% of the children did not present with symptoms indicative of urination dysfunction, where as 80% reported various symptoms, of which the most common were constipation and urinary urgency. In half of the children from Group A and one-fourth of the children from Group B there were several co-occurring symptoms: frequency, urgency, intermittent voiding, incontinence, dribbling and retention, and constipation.Conclusions: The most common disturbance of lower urinary tract function in these children with recurrent UTI was DSD, which occurred more often in children with VUR.
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