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Lower Urinary Tract Infection
Lower Urinary Tract Infectious Disease

Presentation

Results from the short and long-term therapies have not shown any significant differences: 9 out of 43 patients in the 3-day therapy group and 8 out of 44 in the 14-day group presented recurrences within one month. [ncbi.nlm.nih.gov]

Presentation The presenting features of lower urinary tract infection include frequent urination or an urgent need to urinate, dysuria, suprapubic pain and turbid or foul smelling urine. Fever and non-specific lower back pain may be present. [nps.org.au]

Entire Body System

  • Pain

    The symptoms urgency, dysuria, suprapubic pain and loin pain were registered, and urine cultures performed at inclusion and follow-up visits 8-10 d and 5-7 weeks later. [ncbi.nlm.nih.gov]

    Infection of the urethra (urethritis) or the bladder (cystitis) is manifested as burning during micturition, increased frequency of urination, dark and smelly urine, and blood in urine, cloudy urine, pelvic pain in women and rectal pain in men. [differencebetween.net]

    Pain, pressure, or tenderness in the area of the bladder When bacteria spreads to the kidneys you may experience: back pain, chills, fever, nausea, and vomiting. [americanpregnancy.org]

    After years of getting no help from the established "medical profession" and getting sicker and afflicted by pain mood swings and depression, I bought your book and in less than5 weeks my chronic muscle aches and joint pain, caused by my candida yeast [es.slideshare.net]

  • Recurrent Urinary Tract Infection

    Abstract Lower urinary tract infections are very common diseases. [ncbi.nlm.nih.gov]

    Risk factors for recurrent urinary tract infection in young women. J Infect Dis. 2000;182(4):1177–1182. 9. Raz R, et al. Recurrent urinary tract infections in postmenopausal women. Clin Infect Dis. 2000;30(1):152–156. 10. Stern JA, et al. [aafp.org]

    Recurrent Urinary Tract Infections. Urology. Available at: http://www.med.nyu.edu/urology/patient-care-information/conditions-we-treat/recurrent-urinary-tract-infections ↑ 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 Rowe, TA, Juthani-Mehta, M. [physio-pedia.com]

    Ultrasound of the urinary tract is indicated in patients with recurrent infections to check for upper tract abnormalities and urinary stones. [nps.org.au]

  • Recurrent Infection

    Abstract Infections of the lower urinary tract affect 10% to 20% of all women, among whom a substantial proportion go on to experience recurrent infections. [ncbi.nlm.nih.gov]

    These infections take longer to treat and you may be given medication intravenously (through a tube in a vein). What is a recurrent infection? If you have more than two UTIs in a year, you have a recurrent infection. [acog.org]

    Recurrent infections can be due to bacterial persistence or re-infections. [nps.org.au]

    While the majority of women will have a UTI at some point in their lives, untreated or recurrent infections can be rather serious. Untreated urinary tract infections can lead to acute or chronic kidney infections which may cause permanent damage. [mydrnow.com]

  • Severe Pain

    These are more serious and require medical attention: High temperatures and fever Moderate to severe pain in the sides, back or groin Nausea and/or vomiting Diarrhoea Suddenly worsening symptoms Uncontrollable shivering. [simplysupplements.co.uk]

    They may cause blood in the urine and severe pain when urinating. Bladder cancer This is also uncommon. It causes blood in the urine and is painless. In most cases, the cancer is confined to the inside lining of the bladder. [patient.info]

Respiratoric

  • Aspiration

    Because the patient is young and the lens is soft, it can be easily aspirated using bimanual irrigation-aspiration. [healio.com]

    However, if catheterization or aspiration is the means by which urine is obtained, >50,000 CFU/mL of a single organism is considered a UTI. Others have argued that even >1000 CFU/ml of a single organism is a UTI when urine is acquired by aspiration. [clinicaladvisor.com]

    Infants and children: Either catheterization or the needle aspiration method is used. [medicinenet.com]

    Cystitis: More than 1000 colony-forming units (CFU)/mL Pyelonephritis: More than 10,000 CFU/mL Asymptomatic bacteriuria: In a female, more than 100,000 CFU/mL in an asymptomatic individual Any amount of uropathogen grown in culture from a suprapubic aspirate [emedicine.medscape.com]

    Contamination poses a frequent challenge so a cutoff of 105 CFU/mL is used for a "clean-catch" mid-stream sample, 104 CFU/mL is used for catheter-obtained specimens, and 102 CFU/mL is used for suprapubic aspirations (a sample drawn directly from the bladder [simple.wikipedia.org]

Gastrointestinal

  • Constipation

    Constipation Because the bladder & bowel share the same nerve and muscle regulation, there are frequently problems with constipation or inefficient bowel emptying. This is important to identify, since this can influence successful bladder therapy. [stlouischildrens.org]

    Treat constipation promptly : Constipation increases the risk of infection, so if you suffer from constipation, try to increase the amount of fibre in your diet, drink plenty of water, and eat plenty of green vegetables. [simplysupplements.co.uk]

    Prescription pain medicine may cause constipation. Ask your healthcare provider how to prevent or treat constipation. Antibiotics help treat or prevent a bacterial infection. Take your medicine as directed. [drugs.com]

    In children with chronic constipation, treatment of the constipation and chronic prevention of constipation will reduce UTI recurrence. Genetic counseling is not applicable to urinary tract infections. [clinicaladvisor.com]

    Constipation Being constipated makes you susceptible to UTIs as it prevents your bladder from emptying fully. 2. Diarrhea Bacteria from your bowels can easily reach your urethra when you suffer from diarrhea, resulting in UTIs. 3. [curejoy.com]

  • Suprapubic Pain

    The symptoms urgency, dysuria, suprapubic pain and loin pain were registered, and urine cultures performed at inclusion and follow-up visits 8-10 d and 5-7 weeks later. [ncbi.nlm.nih.gov]

    7.01 Lower Urinary Tract Infection (Cystitis) Presentation The patient (usually female) complains of urinary frequency and urgency, internal dysuria, and suprapubic pain. [ncemi.org]

    Treatment of catheter UTIs If people using a catheter have a fever, associated loin (kidney) or bladder (suprapubic) pain, or other symptoms of a UTI, then a urine sample ought to be sent to the laboratory for a test to determine the type of bacteria [alzheimers.org.uk]

    Presentation The presenting features of lower urinary tract infection include frequent urination or an urgent need to urinate, dysuria, suprapubic pain and turbid or foul smelling urine. Fever and non-specific lower back pain may be present. [nps.org.au]

    Classic symptoms of cystitis include urinary frequency, urgency, dysuria, hematuria, suprapubic pain, sensation of incomplete emptying, and often, even incontinence. [auanet.org]

Neurologic

  • Irritability

    One patient in the fleroxacin group had gastric irritation. A single oral dose of fleroxacin may be suitable for the treatment of lower UTI even when it is due to organisms resistant to amoxycillin and other traditional oral antimicrobials. [ncbi.nlm.nih.gov]

    In infants and young children, symptoms may be non-specific, such as irritability, vomiting, diarrhoea, refusing food and poor growth. Fever is present in most infants but may not be found in neonates. [guiasalud.es]

    Cut Bladder Irritants From Your Diet When you have a UTI, caffeine, alcohol, spicy food, nicotine, carbonated drinks, and artificial sweeteners can irritate your bladder further, making it harder for your body to heal. [everydayhealth.com]

Urogenital

  • Dysuria

    A total of 398 women aged 18-87 years consulting for acute dysuria and/or urinary frequency were enrolled in an observational study and filled in a structured symptom questionnaire. [ncbi.nlm.nih.gov]

    Inclusion criteria Inclusion criteria were adult female patients (aged 18 to 70 years) with suspected UTI — which in practice usually meant patients with a history of dysuria and frequency. [bjgp.org]

    Ask the patient about the use of spermicides or douches, which may irritate the periurethral tissue and cause dysuria. [ncemi.org]

  • Hematuria

    N30.2 Other chronic cystitis N30.20 …… without hematuria N30.21 …… with hematuria N30.3 Trigonitis N30.30 …… without hematuria N30.31 …… with hematuria N30.4 Irradiation cystitis N30.40 …… without hematuria N30.41 …… with hematuria N30.8 Other cystitis [icd10data.com]

    Classic symptoms of cystitis include urinary frequency, urgency, dysuria, hematuria, suprapubic pain, sensation of incomplete emptying, and often, even incontinence. [auanet.org]

    […] infection (affecting the bladder and urethra): Pain or stinging when passing urine (dysuria) Persistent feeling of the need to urinate Cloudy and foul-smelling urine Strong and bad smell of urine Abdominal pan (stomach pain) Back pain Blood in the urine (hematuria [diabetes.co.uk]

    Hematuria Irritated, edematous urinary tract bleeding with voiding. Suprapubic tenderness Due to palpation and compression of an inflamed, edematous bladder. Chills and sweats Fever Inflammatory cascade resulting in a febrile response. [pathophys.org]

    If there are no bacteria or few white cells, no hematuria or suprapubic pain, gradual onset over 7-10 days, and a new sexual partner, the dysuria may be caused by a chlamydia or ureaplasma urethritis. [ncemi.org]

  • Renal Injury

    2 cm grootte laceratie van de linker mediale renale cortex, AAST: graad III Classificatie American Association for the Surgery of Trauma Renal Injury grading system (AAST) 1 Gradering Indeling Behandeling 1 Parenchym Subcaspulair hematoom en/of contusie [surgeryassistant.nl]

    Renal damage incurred up to the point of obstruction relief often dictates ultimate renal function outcome, and is most often not reversible; however, if well-managed, chronic kidney injury can be delayed to some degree. [auanet.org]

  • Microscopic Hematuria

    hematuria is found in about half of cystitis cases Low-grade proteinuria is common A positive nitrate test is highly specific for UTI, but it occurs in only 25% of patients with UTI Urine culture remains the criterion standard for the diagnosis of UTI [emedicine.medscape.com]

Workup

(See Workup.) Successful emergent management includes selection of appropriate antimicrobial therapy with recommendations for follow-up care. [emedicine.medscape.com]

Urine

  • Pyuria

    They are often bacterial infections with associated bacteriuria and pyuria. The urinary system consists of the kidneys, ureters, bladder and urethra. Infections of the urinary tract (utis) are the second most common type of infection in the body. [icd10data.com]

    Given this, and that voiding urinary samples may be contaminated by skin or rectal reservoir flora, bacteriuria is suggestive of a UTI, but bacteriuria and pyuria (white blood cells in the urine) is much more specific for infection. [radiopaedia.org]

    The lack of pyuria and a negative urine culture suggests a non-infectious etiology for cystitis. A positive urine culture along with pyuria likely represents bacterial or fungal infection. [auanet.org]

    Pyuria alone is not diagnostic of catheter-associated infection. 11 The catheter should be changed at the time of antibiotic treatment. [nps.org.au]

    Confirmation of a diagnosis of UTI includes a positive urine culture (≥ 105 CFU/mL) with no more than 2 uropathogens and pyuria [6]. Dipstick tests are easy to perform in a clinic and used often when testing for UTI [6]. [physio-pedia.com]

Treatment

Four of them succeeded to collect data on type, dosage and duration of treatment. Mostly, trimethoprim was the treatment of first choice, sometimes combined with sulfamethoxazol or sulfamethizol. [ncbi.nlm.nih.gov]

Prognosis

The positive Ph’ chromosome in acute lymphoblastic leukemia has been known to be associated with poor prognosis. [dspace.ewha.ac.kr]

Prognosis The prognosis after corneal laceration depends on the extent of the injury. Factors to consider include but are not limited to depth and length of laceration, location, and degree of scarring. [emedicine.medscape.com]

[…] immunocompromised status especially virulent pathogen factors that may make a patient complicated 1 male childhood UTIs immunocompromised pregnancy elderly diabetes mellitus failed antibiotic course extended symptoms before presentation Treatment and prognosis [radiopaedia.org]

[…] lung cyst or pneumatoceles) with or without air-fluid level — depends on how much bleeding into laceration Usually subpleural location under point of maximum impact May be single or multiple Treatment Supportive: oxygen, assisted ventilation if needed Prognosis [learningradiology.com]

Cut wound by a sharp object Intracranial injury Retained foreign body Bite wound Skull fracture Prognosis Most scalp lacerations unassociated with other traumatic injuries have a good prognosis with little to no long-lasting sequelae and excellent cosmetic [ncbi.nlm.nih.gov]

Etiology

CONCLUSION: We found that cystitis or urethritis may play an etiological role in the development of PCa in Taiwanese men, particularly in those with repeated medical visits for cystitis or urethritis. [ncbi.nlm.nih.gov]

Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]

Etiology and risk factors N Engl J Med. 2012 Mar 15;366(11):1028-37. Lancet Infect Dis. 2004 Oct;4(10):631-5. Etiology Most commonly due to infection with Escherichia coli species (80-90% of cases). [pathophys.org]

In addition, Trichomonas may be appreciated swimming in the urinary sediment, indicating a different etiology for urinary symptoms or associated vaginitis. [ncemi.org]

The term urinary tract infection (UTI) covers a heterogeneous group of conditions with different etiologies, which have as their common factor the presence of bacteria in the urinary tract, as this is usually sterile, associated with variable clinical [guiasalud.es]

Epidemiology

Both clinical studies in pregnant women with UTI and large epidemiological studies have confirmed the safety of pivmecillinam used in pregnancy. [ncbi.nlm.nih.gov]

Epidemiology Frequency United States The United States Eye Injury Registry (USEIR) is a terrific resource for nationwide eye trauma epidemiology, prevention techniques, and educational resources. [emedicine.medscape.com]

Klebsiella spp. as nosocomial pathogens: epidemiology, taxonomy, typing methods, and pathogenicity factors. Clin Microbiol Rev 11, 589 –603. [Google Scholar] Sahly, H., Aucken, H., Benedí, V. J., Forestier, C., Fussing, V., Hansen, D. [jmm.microbiologyresearch.org]

Journal of clinical epidemiology. 2006;59(9):970-9. 21. Bont J, Hak E, Hoes AW, Macfarlane JT, Verheij TJ. [verenso.nl]

Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. Am J Med 2002;113 Suppl 1:5-13. Zalmanovici Trestioreanu A, Green H, Paul M, Yaphe J, Leibovici L. [nps.org.au]

Pathophysiology

Pathophysiology of Complicated Urinary Tract Infections. Medscape Reference [On-line information]. Available online at http://emedicine.medscape.com/article/2039975-overview. Accessed October 2012. Brusch, J. (Updated 2012 February 1). [labtestsonline.org]

For more information on this topic, see the Medscape Reference articles Acute Pyelonephritis and Pathophysiology of Complicated Urinary Tract Infections. [emedicine.medscape.com]

However, even though the number of patients visiting emergency departments has gradually increased over this period, visits for lacerations have declined over the same period.[3] Pathophysiology The scalp consists of five layers, summarized by the mnemonic [ncbi.nlm.nih.gov]

Certainly, behavior is crucial to the pathophysiology of most types of dysfunctional voiding. [auanet.org]

Prevention

CONCLUSION: Acupuncture seems a worthwhile alternative in the prevention of recurring lower UTI in women. [ncbi.nlm.nih.gov]

Current prevention and treatment programs make UTIs more manageable, but many could be avoided with proper bladder programs. The majority of UTIs are preventable. Prevention of UTIs is the KEY to avoiding bladder management complications. [rnceus.com]

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