Mon Mar 2 20:42:24 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.

Advertisement: Come to sunny Singapore to have your testing and treatment. Singapore Ministry of Health registered general practice (GP) clinic:
168 Bedok South Avenue 3 #01-473
Singapore 460168
Tel: (+65) 6446 7446
Fax: (+65) 6449 7446
24hr Answering Tel: (+65) 6333 5550
Web: Urinary Tract Infection | STD DOCTOR SINGAPORE™
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

Research on antimicrobial residues activity in urine samples of hospitalized patients
Sun, 01 Mar 2015 12:46:46 +0100 | Jornal Brasileiro de Patologia e Medicina Laboratorial
Conclusion: Automated technique showed better performance when compared to manual technique, with sensitivity of 92.8% and 71.4%, respectively. The presence of antimicrobial residues may affect the recovery of bacteria in the urine, producing a false-negative result. Introdução: A infecção do trato urinário é bastante frequente em ambiente hospitalar, e a cultura de urina é padrão-ouro para o diagnóstico dessa doença, pois permite a identificação bacteriana e a realização do teste de suscetibilidade aos antimicrobianos. Amostras de urina de pacientes com forte suspeita de infecção que resultam em cultura negativa podem ocorrer devido à atividade de resíduos de antimicrobianos, os quais podem interferir no crescimento bacteriano in vitro e gerar resultados falso negativos....

Cost-Minimization Analysis of Imipenem/Cilastatin versus Meropenem in Moderate to Severe Infections at a tertiary care hospital in Saudi Arabia
Sat, 28 Feb 2015 00:00:00 +0100 | Saudi Pharmaceutical Journal
Conclusion This study has shown that while acquisition costs of IC at a dose of 500mg q6h may be lower than for MEM 1 gram q8h, mean total costs per day were not significantly different between IC and MEM, indicating that medicine costs are only a small element of the overall costs of managing moderate to severe infections. (Source: Saudi Pharmaceutical Journal)

Urinary tract infections
Sat, 28 Feb 2015 00:00:00 +0100 | Disease a Month
(UTIs) account for nearly 7 million office visits and 1 million emergency department visits, resulting in 100,000 hospitalizations annually.1 UTIs are more common in women with 33% requiring antimicrobials for at least 1 episode by the age of 24. With an estimated annual cost of community-acquired UTIs being around 1.6 billion dollars, the financial burden is significant.1 (Source: Disease a Month)

Optical diagnosis of lower urinary tract infection: A pilot study in children
Sat, 28 Feb 2015 00:00:00 +0100 | Journal of Pediatric Urology
Lower urinary tract infection (LUTI) is a common and potentially serious condition in both the adult and pediatric populations. Effective treatment of LUTI requires early and accurate diagnosis of the condition. Conventionally, diagnosis of LUTI is made on the basis of history, urine microscopy and culture. But there are limitations to this methodology especially in infants and young children as well as elderly adults and those affected by neuropathies and spinal cord injuries (SCI) where there is difficulty in obtaining a full history and details of clinical symptoms. (Source: Journal of Pediatric Urology)

FDA Approves Antibiotic Combo
Fri, 27 Feb 2015 18:30:00 +0100 | MedPage Today Public Health
(MedPage Today) -- Ceftazidime-avibactam approved for complicated abdominal and urinary tract infections. (Source: MedPage Today Public Health)

Urinary Tract Infections: A Common but Fascinating InfectionUrinary Tract Infections: A Common but Fascinating Infection
Fri, 27 Feb 2015 14:06:37 +0100 | Medscape Today Headlines
There are still many unanswered questions about urinary tract infections. Current Opinion in Infectious Diseases (Source: Medscape Today Headlines)

Empiric and Targeted Treatment of Enterococcal Infections: Opportunities for Antimicrobial Stewardship
Fri, 27 Feb 2015 12:34:13 +0100 | Infectious Diseases in Clinical Practice
Conclusions: Vancomycin was commonly used for both empiric and targeted therapy. Vancomycin-resistant enterococci was frequent, and empiric therapy was inadequate in most of those cases. Targeted therapy for both EBSI and EUTI was often not tailored to more appropriate agents. Our findings indicate many stewardship opportunities to improve prescribing for enterococcal treatment. (Source: Infectious Diseases in Clinical Practice)

Antimicrobial Stewardship for the Treatment of Enterococcal Bloodstream and Urinary Tract Infections: Always a Challenging Choice
Fri, 27 Feb 2015 12:34:11 +0100 | Infectious Diseases in Clinical Practice
No abstract available (Source: Infectious Diseases in Clinical Practice)

The accuracy of renal point of care ultrasound to detect hydronephrosis in children with a urinary tract infection
Fri, 27 Feb 2015 10:56:29 +0100 | European Journal of Emergency Medicine
The objective of this study was to investigate the accuracy of renal point of care ultrasound (POCUS) for the detection of hydronephrosis in children with a urinary tract infection (UTI). We prospectively included all patients with a final diagnosis of UTI who visited our pediatric emergency department between November 2009 and April 2011. Emergency physicians were encouraged to perform a renal POCUS during these visits, and a follow-up renal ultrasonography was performed by a radiologist who was blinded to the results of POCUS. We calculated the accuracy of POCUS to detect hydronephrosis (renal pelvis enlargement ≥10 mm). We included 433 UTI visits, and 382 (88.2%) POCUS were performed. The sensitivity and the specificity were 76.5% (95% confidence interval: 58.1–94.6%) and 97.2% (9...

New Antibiotic Avycaz Wins FDA ApprovalNew Antibiotic Avycaz Wins FDA Approval
Thu, 26 Feb 2015 19:01:41 +0100 | Medscape Emergency Medicine Headlines
The combination antibiotic treats complicated intra-abdominal and urinary tract infections but is essentially a last resort. FDA Approvals (Source: Medscape Emergency Medicine Headlines)