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Urinary tract infection (UTI) Womens Health - Medical Articles

The UTI infection happens when bacteria passes through the opening in urethra and reproduces in the urinary tract. Urinary tract is a group of different organs, kidneys, urethras (tubes that carry urine from kidneys to bladder and again from bladder to urethra. The passage of urine through urethra also expels bacteria from the system.
UTI is very frequent among young children, and it can also lead to kidney damage. Rarely, UTI can reveal some hidden problems like abnormality of urinary tract. Youngsters with excretion problems and slight or no fever and without any general symptoms have severe lower tract infection (cystitis). Presence of fever with pyuria and considerable bacteriuria can make it difficult to place the problem.
Causes and dangers

Most of the adults suffer from this infection due to a bacteria called "Escherchia coli" the bacteria is abound in the lower large intestine, around anus and genitals from there it may pass through the opening of urethra.

Kidney damage due to prolonged UTI condition (especially in young women) used to be very common but now is diminishing in the industrialized nations, probably as a result of better health conditions. Hypertension, impaired renal function, and ESRD are now frequently seen in infants with intrauterine renal damage.

Neonatal studies normally show kidney damage related to bladder outlet blockage or un-obstructive hydronephrosis due to severe VUR. Patients under these conditions may develop further kidney damage as a result of infection,

The initial infection of UTI usually happens in the first two years of life and in some cases black infants are more in danger than whites. In the newborn babies, special care should be taken in maintaining the hygienic conditions of infants, as soiled diapers can allow the E. coli bacteria to pass through the urethra. To prevent the similar condition, young girls are advised to "wipe from front to back" after excretion.
The occurrence of disease is more common in young males than females. But after the age of one year onwards, initial and recurring UTI is frequent in females. Women are usually prone to this disease because, location of their urethra is near the accumulation of bacteria, making it easier for the bacteria to reach the urinary tract.
Patients of both sex infected with chlamydia trachomatis or mycoplasma hominis may pass the bacteria to their sexual partners, causing UTI.

Sexual intercourse can initiate UTI in some women, and use of diaphragm is said to be one of the causes. Especially, condoms with spermicidal foam might start the growth of E. coli in the vagina, which may enter the urethra.

In some gravely sick patients, urine is removed from the bladder by insertion of a small tube through the urethra; this 'd often transfer the bacteria to the bladder and eventually leads to infection.
The following factors can also cause an infection:
1) Blockage of bladder due to kidney stones etc.
2) Incomplete or irregular discharge of urine (especially in older patients)
3) Inherited birth defects (in urinary tract)
4) A weak immune system
5) Unclean urethral opening (present in some uncircumcised patients)

Treatments and care
Young patients with severe pyelonephritis usually need oral or parenteral fluids with antipyretics combined with antibiotics. Sometimes, beginning expansion of the extra cellular volume is needed. Normal patients can have parenteral fluids and antibiotics, and also be treated at home later. On the other hand, advanced symptoms need hospitalization.

Patients with advanced pyeloephritis after hospitalization are provided appropriate amounts of parenteral fluids in combination with required antibiotics. Development of microorganisms in the urine and their reaction to antibiotics is measured. If the infective agents are curbed by the medicine, than the treatment is sustained until the patient 's improved enough to be released which usually takes around two to three days. Later, the oral antibiotics replace parenteral treatment.
Patients suffering from intense cystitis normally need no extraordinary care, except the required antibiotic treatment and support in case of irregular or frequent urination, which could be quite irritating. At times, analgesics might be required to treat dysuria or acute bladder problem.

Oral antibiotics are often initiated before the availability of laboratory tests, if the problem persists and the recovery process is not satisfactory in two to three days, than a different approach or other antibiotics are applied. If the patient shows signs of recovery than the treatment is continued for 5 to 7 days, later a reevaluation of antibiotics is observed to treat cystitis.

To relieve the patient from irritations, sitting in hot water three to four times a day is advised. Patients suffering from intense irritation in excretion might feel better with an appropriate-sized belladonna and opium rectal suppository. But it should not be observed more than 4 times a day and not more than 2 days.

 


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