Sun Jan 25 20:12:25 SGT 2015  
    Urinary Tract Infection
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Urinary Tract Infection | STD DOCTOR SINGAPORE™


Urinary Tract Infection | STD DOCTOR SINGAPORE™ @stddoctorsingapore_com: Urinary tract infection, Singapore. Private & confidential service.

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Opening Hours
Monday to Friday: 9 am to 3 pm, 7 pm to 11 pm
Saturday & Sunday: 7 pm to 11 pm
Public Holidays: Closed
Last registration: one hour before closing time.
Walk-in clinic. Appointments not required.
Bring NRIC, Work Pass or Passport for registration.


Table of Contents

Urinary tract infection (UTI) and corresponding inflammatory conditions:
  • In men, it is rare. But when it happens in sexually active men, it is frequently caused by STD.
  • In women, it is frequently caused by Escherichia coli originating from the anus.
Urethritis is inflammation of the urethra. The most common symptom is dysuria (painful urination), followed by urethral discharge / genital discharge. For treatment purposes, it is classified in two categories: In the UK, Non-specific urethritis (NSU) may be used to mean that either gonorrhoea alone, or both gonorrhoea and chlamydia has been ruled out.

Cystitis is inflammation of the bladder.

Lower UTI symptoms are

UTI treatment is usually with antibiotics like trimethoprim/sulfamethoxazole

Sexual risk (of HIV/STD/pregnancy), and what you can do before and after exposure.

Timeline HIV STD Pregnancy
Before exposure
Abstain from sex, Be faithful, or Condom use
Circumcision (males only)
Contraception (females only)
HIV PrEP (pre-exposure prophylaxis) STD vaccine:
- Hepatitis vaccine
- HPV vaccine
STD / HIV exposure
Unsafe sex / unprotected sex:
No condom / Condom broke / Condom slip
0-72 hours HIV prevention
HIV PEP (post-exposure prophylaxis) treatment
- Stop HIV infection after exposure.
STD testing.
If STD symptoms appear, then do STD treatment.
- Males: Do not urinate for at least 4 hours before arriving.
- Females: testing is more accurate when you are not menstruating.
Emergency contraception (females only)
2 weeks HIV DNA PCR test
1 month 20 minute HIV rapid test - SD Bioline HIV Ag/Ab Combo:
- Fingerprick blood sampling.
3 months 20 minute HIV rapid test - OraQuick®:
- Oral saliva or
- Fingerprick blood sampling.
Full & comprehensive STD testing
- Males: Do not urinate for at least 4 hours before arriving.
- Females: testing is more accurate when you are not menstruating.


Latest News

Bladder Ganglioneuroma in a 5-Year-old Girl Presenting With a Urinary Tract Infection and Hematuria: Case Report and Review of the Literature
Sat, 24 Jan 2015 11:38:25 +0100 | Urology
We report the case of a 5-year-old girl who presented with hematuria and a urinary tract infection and on workup was found to have a large bladder mass. Transurethral resection and pathologic examination revealed the mass to be a ganglioneuroma. (Source: Urology)

KHA‐CARI guideline: Diagnosis and treatment of urinary tract infection in children
Sat, 24 Jan 2015 00:00:00 +0100 | Nephrology
(Source: Nephrology)

Bacterial sensitivity to fosfomycin in pregnant women with urinary infection
Sat, 24 Jan 2015 00:00:00 +0100 | The Brazilian Journal of Infectious Diseases
Publication date: Available online 24 January 2015 Source:The Brazilian Journal of Infectious Diseases Author(s): Rodrigo Batista Souza , Daisson José Trevisol , Fabiana Schuelter-Trevisol The aim this study was to determine the in vitro susceptibility to fosfomycin of bacteria isolated from urine samples of pregnant women with urinary tract infection. Samples of urine culture with bacterial growth of pregnant women were collected from clinical laboratories in Tubarão, state of Santa Catarina, Brazil, between September 2012 and May 2013. In the experimental stage, the colonies were tested for sensitivity to fosfomycin by using the Kirby–Bauer method. The following information relating to the samples was also collected: patients’ age, colony count, type(s) of identified bacterial(s)...

Vesicoureteric reflux in children
Sat, 24 Jan 2015 00:00:00 +0100 | The Lancet
Publication date: 24–30 January 2015 Source:The Lancet, Volume 385, Issue 9965 Author(s): Kjell Tullus Vesicoureteric reflux is defined as the retrograde passage of urine from the bladder into one or both ureters and often up to the kidneys, and mainly affects babies and infants. In severe cases dilatation of the ureter, renal pelvis, and calyces might be seen. Traditionally it was thought that only a low percentage of children have vesicoureteric reflux, but studies have suggested as many as 25–40% are affected. Guidelines recommend that the number of investigations for vesicoureteric reflux in children who have had a febrile urinary tract infection be reduced, but this approach is controversial. The recommendations also suggest that prophylactic antibiotics and surgery should be av...

Ultrasonography and C‐reactive protein can predict the outcomes of voiding cystography after the first urinary tract infection
Sat, 24 Jan 2015 00:00:00 +0100 | Acta Paediatrica
ConclusionVoiding cystography should be performed for patients with C‐reactive protein levels of ≥80 mg/L and grade IV–V ultrasonography findings, but is not necessary in patients with C‐reactive protein levels of <80 mg/L and grade I–III ultrasonography findings.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)

Infection with Klebsiella pneumoniae carbapenemase (KPC)-producing Klebsiella pneumoniae in cancer patients
Fri, 23 Jan 2015 18:39:27 +0100 | European Journal of Clinical Microbiology and Infectious Diseases

Biofilm and multidrug resistance in uropathogenic Escherichia coli.
Fri, 23 Jan 2015 13:25:24 +0100 | Pathogens and Global Health
Conclusions: Biofilm production makes the organism to be more resistant to antibiotics and virulent as compared to non-biofilm producers.

A General Method for Rapid Determination of Antibiotic Susceptibility and Species in Bacterial Infections [Bacteriology]
Fri, 23 Jan 2015 00:00:00 +0100 | Journal of Clinical Microbiology
To ensure correct antibiotic treatment and reduce the unnecessary use of antibiotics, there is an urgent need for new rapid methods for species identification and determination of antibiotic susceptibility in infectious pathogenic bacteria. We have developed a general method for the rapid identification of the bacterial species causing an infection and the determination of their antibiotic susceptibility profiles. An initial short cultivation step in the absence and presence of different antibiotics was combined with sensitive species-specific padlock probe detection of the bacterial target DNA to allow a determination of growth (i.e., resistance) and no growth (i.e., susceptibility). A proof-of-concept was established for urinary tract infections in which we applied the method to determin...

Flow Cytometry Analysis Using Sysmex UF-1000i Classifies Uropathogens Based on Bacterial, Leukocyte, and Erythrocyte Counts in Urine Specimens among Patients with Urinary Tract Infections [Bacteriology]
Fri, 23 Jan 2015 00:00:00 +0100 | Journal of Clinical Microbiology
Urinary tract infections (UTIs) are the second most common bacterial infection. Urine culture is the gold standard for diagnosis, but new techniques, such as flow cytometry analysis (FCA), have been introduced. The aim of the present study was to evaluate FCA characteristics regarding bacteriuria, leukocyturia, and erythrocyturia in relation to cultured uropathogens in specimens from patients with a suspected UTI. We also wanted to evaluate whether the FCA characteristics can identify uropathogens prior to culture. From a prospective study, 1,587 consecutive urine specimens underwent FCA prior to culture during January and February 2012. Outpatients and inpatients (79.6% and 19.4%, respectively) were included, of whom women represented 67.5%. In total, 620 specimens yielded growth, of whic...

Molecular Epidemiological Characterization of Uropathogenic Escherichia coli from an Outpatient Urology Clinic in Rural Japan [Epidemiology]
Fri, 23 Jan 2015 00:00:00 +0100 | Journal of Clinical Microbiology
In the remote Japanese community of Saku, a rural town in the Nagano Prefecture, a large proportion of outpatient urinary tract infections was caused by well-recognized globally dispersed clonal lineages of uropathogenic Escherichia coli (UPEC). However, most of these strains were drug susceptible, suggesting that factors other than selection pressure account for the clonal spread of drug-susceptible UPEC. (Source: Journal of Clinical Microbiology)