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Table of Contents Urinary tract infection (UTI) and corresponding inflammatory conditions:
- Lower urinary tract
- Upper urinary tract
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.
- 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.
Cystitis is inflammation of the bladder.
Lower UTI symptoms are UTI treatment is usually with antibiotics like trimethoprim/sulfamethoxazole
(of HIV/STD/pregnancy), and what you can do before and after exposure.
The predictive value of urinary UPIb mRNA levels in VUR and recurrent urinary tract infections.
Sat, 01 Mar 2014 00:00:00 +0100 | Clinical Nephrology
Conclusion: Urine UPIb levels may be useful for predicting the risk of recurrent UTI in patients diagnosed with their first UTI and may also be considered as a noninvasive screening test for VUR.
Ultrasound as a Screening Test for Genitourinary Anomalies in Children With UTI
Fri, 28 Feb 2014 00:00:00 +0100 | PEDIATRICS
This study shows that ultrasound is a poor screening test for genitourinary abnormalities identified on VCUG, such as vesicoureteral reflux. Neither positive nor negative ultrasounds reliably identify or rule out such abnormalities. Ultrasound and VCUG provide different, but complementary, information. (Read the full article) (Source: PEDIATRICS)
Emergence of extended-spectrum β-lactamase-producing Escherichia coli in catheter-associated urinary tract infection in neurogenic bladder patients
Thu, 27 Feb 2014 21:56:58 +0100 | American Journal of Infection Control
Conclusion: ESBL producing E coli strains isolated from CAUTI patients could be discriminated by rep-PCR typing using the Diversilab system in consistent with antibiotic resistance patterns. (Source: American Journal of Infection Control)
Using electronic medical records to increase the efficiency of catheter-associated urinary tract infection surveillance for National Health and Safety Network reporting
Thu, 27 Feb 2014 21:56:58 +0100 | American Journal of Infection Control
Conclusions: The electronic algorithm proved effective in increasing the efficiency of CAUTI surveillance. The data suggest that CAUTI surveillance using the National Healthcare Safety Network definitions can be fully automated. (Source: American Journal of Infection Control)
Epidemiology of Bacteremia in Febrile Infants in the United States: Biondi E, Evans R, Mischler M, et al. Pediatrics 2013;132;990–6.
Thu, 27 Feb 2014 21:23:26 +0100 | The Journal of Emergency Medicine
This retrospective review evaluated the epidemiology of bacteremia in febrile infants < 90 days old at six different hospital sites across the country. The study included only healthy infants without complex comorbidities who were admitted to the general pediatrics ward. Infants admitted to the intensive care unit were excluded. The study identified 181 cases of bacteremia that met inclusion criteria. The most common pathogen was Escherichia coli (42%). Of these cases, 91% were found to have concurrent E. coli urinary tract infection. The next most common cause of bacteremia was group B Streptococci (GBS), which was causative in 23% of cases. Twenty-seven percent of these infants were found to have concurrent GBS meningitis. Only 6% of cases were found to be caused by Streptococcus pneumon...
Reply by the Authors
Thu, 27 Feb 2014 13:51:10 +0100 | Urology
The authors should be congratulated on reporting their own experience with a similar group of patients who underwent both an ultrasound and voiding cystourethrogram (VCUG) after a febrile urinary tract infection. As discussed in our article, the sensitivity of ultrasound varies significantly in the literature and may be influenced by how and where the ultrasound is performed and interpreted. (Source: Urology)
Re: Massanyi et al.: Utility of Screening Ultrasound After First Febrile UTI Among Patients With Clinically Significant Vesicoureteral Reflux (Urology 2013;82:905-909)
Thu, 27 Feb 2014 13:51:09 +0100 | Urology
We read with interest the article of Massanyi et al, that adds to the debate on the pros and cons of performing a micturating cystourethrogram (MCUG) in children after a urinary tract infection (UTI). Of 144 children in their study, 45 kidneys had high-grade (IV or V) vesicoureteric reflux (VUR), with most (29 of 45) having a normal renal ultrasound scan (USS). The authors conclude that because USS had poor sensitivity and negative predictive value for detecting high-grade VUR, all children under 2 years with a febrile UTI should have a MCUG. (Source: Urology)
Bacterial Persistence in the Prostate After Antibiotic Treatment of Chronic Bacterial Prostatitis in Men With Spinal Cord Injury
Thu, 27 Feb 2014 13:49:40 +0100 | Urology
Conclusion: Antibiotic treatment did not result in the eradication of bacteria from the prostate of men with SCI. The antibiotic treatment of bacterial prostatitis in men with SCI should aim at eradicating symptoms and not bacteria. (Source: Urology)
Simple lab-based change may help reduce unnecessary antibiotic therapy, improve care
Thu, 27 Feb 2014 05:00:00 +0100 | EurekAlert! - Infectious and Emerging Diseases
(Infectious Diseases Society of America) A simple change in how the hospital laboratory reports test results may help improve antibiotic prescribing practices and patient safety, according to a pilot, proof-of-concept study published in Clinical Infectious Diseases -- now available online. No longer routinely reporting positive urine culture results for inpatients at low risk for urinary tract infections greatly reduced unnecessary antibiotic prescriptions and did not affect the treatment of patients who did need antibiotics, the study authors found. (Source: EurekAlert! - Infectious and Emerging Diseases)
Urinary Tract Infection in Adults Quiz
Wed, 26 Feb 2014 07:00:00 +0100 | MedicineNet Hepatitis C General
Title: Urinary Tract Infection in Adults QuizCategory: MedicineNet QuizCreated: 6/10/2010 12:17:00 PMLast Editorial Review: 2/26/2014 3:31:40 PM (Source: MedicineNet Hepatitis C General)