Urinary tract infection

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2018-04-01 10:57:08

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Urinary tract Infection is an inflammatory process. While in the pathological process of renal parenchyma is not involved.

Urinary tract infections in children symptoms is nonspecific. The difference between them is celebrated depending on the severity of the disease and the patient's age. Very rarely noted the presence of orhoepididimit. The manifestation of signs of inflammation and pain in the scrotum may indicate torsion of the testis. In neonates urinary tract infection often has no clear localization. For younger children, the condition is characterized by manifestations from the gastrointestinal tract in the form of diarrhea or vomiting. 13.6% of children with fever in the first few weeks is susceptible to infection. Rarely the condition can manifest as septic shock. Young children are marked deleted manifestations of the inflammatory process. From the age of two, urinary tract infection is manifested by frequent voiding, pain suprapubic, in the back or the abdomen, dysuria. The condition can occur with increasing temperature, and without it.

Urinary tract Infection is fairly common in patients in the elderly. This is due to the influence of a number of factors, including alteration of the normal anatomical and physiological characteristics in the pelvic organs (prolapse), the failure of the epithelium, reducing production of mucus. Inflammation is accompanied by a weakening of the immune system, disorder of microcirculation, increased contamination of the urethral region due to incontinence.

As practice shows, infections of the genitourinary system may manifest as in the form of severe complications, and can occur completely asymptomatic.

For the development of the disease must be present predisposing factors and microbial agent.

The Most common complaints of patients are pain and burning sensation in the urethral cavity, accompanied by increased urination. With unpleasant thrill can give in the crotch. In addition, typical are and Muco-purulent and mixed with blood discharge from the urethra.

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A Laboratory study shows changes in blood count. For some patients the typical is in violation of the functional indexes of tubular and glomerular apparatus. Cystoscopy detects changes of the mucous membrane lining the bladder. Cardinal sign of infection include bacteriuria of more than one hundred five microbial cells in a milliliter of urine, which is taken from the middle part of the morning free jet, or other degree of bacteriuria in a suprapubic aspirate.

Acute infectious processes, as well as exacerbation of chronic trends suggest immediate antimicrobial therapy. This prevents the spread of damaging effects on the kidneys. However, as a rule, the initial drug can be selected in accordance with the knowledge of the etiological characteristics of possible pathogens, their sensitivity to the drug, taking into account the experience of previous treatment, clinical symptoms, age of patient, availability of medications, the expected side effect of the application.

In case of failure of empirical therapy for three days is the correction by changing the antibiotic. This takes into account the data of urine culture. Mild infectious processes involves oral forms of antimicrobial medications. In severe forms of the disease appropriate “speed” therapy, providing for the first three or five days the purpose of parenteral means. Later (when facilitating) is assumed to be replaced by oral medicines.


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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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