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Urinary Tract Infections - Zentrum der Gesundheit

Urinary Tract Infections - Zentrum der Gesundheit

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cancer.html http://medplant.nmsu.edu/Diseases/uti/uti.HTML<br />

Women with lowered immunity<br />

Women with prolapsed urethra or blad<strong>der</strong><br />

Women with obstructions in the urinary tract<br />

Women who are “non-secretors” of certain blood group antigens<br />

Symptoms<br />

Symptoms depend on age of person and where the UTI is located .<br />

Symptoms of urethritis often include:<br />

Burning sensation at the start of urination<br />

Symptoms of cystitis often include:<br />

Burning sensation in the middle of urination<br />

Fever<br />

Lower abdominal pain<br />

Funny smell, color, or appearance (cloudy, dark, blood tinged) of urine<br />

Symptoms of Pyelonephritis often include:<br />

Pain in back, flanks, or abdomen<br />

Fever<br />

Nausea<br />

Vomiting<br />

Other symptoms of UTI’s:<br />

Uncomfortable pressure above pubic bone<br />

Fullness in rectum (in men only)<br />

Small amount of urine, despite urge to urinate<br />

Irritability (in children only)<br />

Abnormal eating (in children only)<br />

Complications if infected with pyelonephritis<br />

Scarring and damage to kidney tissue<br />

Kidney failure<br />

Low blood pressure<br />

Frequent fainting<br />

Strokes<br />

Heart disease<br />

Prevention & Treatment<br />

Diagnosis of UTI:<br />

Photo by Sergio Huerta<br />

A urine sample is given to be tested for pus and bacteria (urinalysis test)<br />

The urine is examined for white and red blood cells and bacteria<br />

Bacteria are grown in a culture and tested against antibiotics to determine which drug<br />

best destroys bacteria<br />

A sensitivity test is given<br />

Nuclear scans to determine kidney damage<br />

Intravenous pyelogram (IVP) which gives x-ray images of blad<strong>der</strong>, kidneys, and<br />

ureters<br />

Ultrasound of kidneys, ureter, and blad<strong>der</strong><br />

Cystoscopy<br />

Dipsticks that change color with presence of an infection<br />

Anti-biotics used to treat UTI:<br />

Photos by Sergio<br />

Huerta<br />

Trimethoprim (Trimpex)<br />

Trimethoprim-sulfamethoxamole(TMP/SMZ) (Bactrim, Septra, Cotrim)<br />

Amoxicillin (Amoxil, Trimox, Wymox)<br />

Nitrofurantoin (Nacrodantin, Furadantin)<br />

Ampicillin<br />

Ofloxacin (Floxin)<br />

Norfloxacin (Noroxin)<br />

Ciprofloxacin (Cipro)<br />

Treatment:<br />

Antibiotics for 1-2 days<br />

Single treatment is not recommended for patients with delayed treatments, kidney<br />

infections, diabetes, structural abnormalities, males with prostate infections<br />

Longer treatment needed by patients infected with Mycoplasma or Chlamydia which<br />

is treated with tetracycline, TMP/SMZ, or doxycycline<br />

Kidney infections require several weeks of antibiotic treatment<br />

Heating pads may help in some cases<br />

Doctors recommend lengthier therapy in men to prevent infections of prostate gland<br />

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