Fri Nov 21 19:46:51 SGT 2014  
    Urinary Tract Infection
Within 3 days after unprotected sex,
stop HIV infection with Post-Exposure Prophylaxis treatment
28 days after unprotected sex,
accurately detect HIV infection with the 20 minute rapid test
Full & comprehensive sexually transmitted disease testing
Males: do not urinate for at least 4 hours before arriving
Females: testing is more accurate when you are not menstruating

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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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 Event / Available resources
HIV STD Pregnancy
Before exposure
Abstain from sex, Be faithful, or Condom use
Circumcision (males only)
(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 SD Bioline HIV Ag/Ab Combo HIV rapid test:
- Fingerprick blood sampling.
3 months 20 minute OraQuick® HIV rapid test:
- 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

The Co‐Transcriptome of Uropathogenic Escherichia coli‐Infected Mouse Macrophages Reveals New Insights into Host–Pathogen Interactions
Thu, 20 Nov 2014 19:46:57 +0100 | Cellular Microbiology

Molecular detection of virulence genes as markers in Pseudomonas aeruginosa isolated from urinary tract infections.
Thu, 20 Nov 2014 15:57:57 +0100 | International Journal of Molecular Epidemiology and Genetics
Authors: Sabharwal N, Dhall S, Chhibber S, Harjai K

Variation in the documentation of findings in pediatric voiding cystourethrogram
Thu, 20 Nov 2014 11:42:22 +0100 | Pediatric Radiology

Malakoplakia of the Urogenital Tract
Thu, 20 Nov 2014 00:00:00 +0100 | Urology Case Reports
We present 4 patients with genitourinary malakoplakia, who manifested with recurrent urinary tract infection (UTI) and hematuria in all except one, who presented with hydronephrosis secondary to a large pelvic mass. We discuss the need for a high index of suspicion and careful scrutiny of histology to order to avoid misdiagnosis as simple long term antibiotics are an effective treatment in all but those with large pelvic masses. (Source: Urology Case Reports)

A protocol to identify non-classical risk factors for preterm births: the Brazilian Ribeirao Preto and Sao Luis prenatal cohort (BRISA)
Wed, 19 Nov 2014 00:00:00 +0100 | Reproductive Health

Trudności diagnostyczne u dziewczynki z wieloukładową histiocytozą z komórek Langerhansa – opis przypadku
Wed, 19 Nov 2014 00:00:00 +0100 | Pediatria Polska
Publication date: Available online 16 September 2014 Source:Pediatria Polska Author(s): Małgorzata Krawczyk , Anna Lemska , Ewa Bień , Lucyna Maciejka-Kembłowska , Ninela Irga-Jaworska , Ewa Iżycka-Świeszewska , Gabrielle Karpinsky , Marek Tomaszewski , Elżbieta Adamkiewicz-Drożyńska Langerhans cell histiocytosis (LCH) is a rare disease of unknown etiology and varied picture and clinical course. The intensity and the outcome of LCH treatment depend on the amount and type of the affected organs, their dysfunction and age of the patient. In this paper we present the diagnostic difficulties in a 19-month-old girl with multisystem LCH, manifesting mainly by persistent fever, deep anemia, hepatosplenomegaly and lymphadenopathy, coexisting with EBV infection and urinary tract infection...

Zakażenia układu moczowego u dzieci
Wed, 19 Nov 2014 00:00:00 +0100 | Pediatria Polska
Publication date: July–August 2014 Source:Pediatria Polska, Volume 89, Issue 4 Author(s): Helena Ziółkowska Urinary tract infection (UTI) is a frequently occurring clinical problem in childhood. As many as 1–3% girls and 1% boys will be diagnosed with UTI in first 5 years of live. Several guidelines exist on UTI in children. All the available guidelines underline the importance of a correct diagnosis of febrile UTI to allow a more rational use of antibiotics and imaging. High body temperature, abdominal pain, back pain and high procalcitonin levels (>0.5ng/ml) during the acute phase of disease are suggestive of severe inflammation in kidney (pyelonephritis). Children with UTI are at risk of renal scarring, which may lead to impaired renal function and hypertension. The role ...

The Significance of Preoperative Impaired Sensorium on Surgical Outcomes in Nonemergent General Surgical Operations
Wed, 19 Nov 2014 00:00:00 +0100 | JAMA Surgery
ImportanceWith an aging population, preoperative assessment of the frail older adult requires evaluation beyond simply accounting for chronic diseases. Impaired cognition is a recognized characteristic of the frail older adult.ObjectiveTo examine the effect of preoperative impaired sensorium (IS) on general surgical outcomes.Design, Setting, and ParticipantsRetrospective cohort study using data between January 2005 and December 2010 at academic and community hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program. Patients undergoing nonemergent general surgical operations were studied. Multivariable logistic regression involving 45 preoperative patient-level risk factors and comorbidities was used to calculate the conditional probability o...

RIVUR trial offers confirmatory evidence for a small but real benefit of antibiotics for UTI prevention in children
Wed, 19 Nov 2014 00:00:00 +0100 | Evidence-Based Medicine
Commentary on; RIVUR Trial InvestigatorsHoberman A, Greenfield SP, Mattoo TK, et al.. Antimicrobial prophylaxis for children with vesicoureteral reflux. N Engl J Med 2014;370:2367–76. Context Urinary tract infections (UTIs) are common in children and can cause considerable morbidity; furthermore, UTIs recur in 10–20% of patients.1–3 Some literature claims there are serious adverse long-term consequences of UTIs, such as hypertension and end-stage kidney disease, but evidence is sparse and lacks denominators.4 5 Numerous trials of low-dose antibiotics for recurrent UTIs have been published and six systematic reviews have synthesised these data. Early trials were small and poorly designed and focussed on select groups of children, making them relatively uninformative for cl...

Comorbidities and Concomitant Medication Use in Men with Prostate Cancer or High Levels of PSA Compared to Matched Controls: A GPRD Analysis.
Tue, 18 Nov 2014 20:06:36 +0100 | Journal of Cancer Epidemiology
Authors: Li H, Hodgson E, Watson L, Shukla A, Nelson JJ