.

ISSN 2063-5346
For urgent queries please contact : +918130348310

A COMPREHENSIVE ANALYSIS OF URINARY TRACT INFECTION

Main Article Content

G. Sanjay1 , K. Selva kumar1 , H. Shaikh Jassim1 , A. Shivani1 , T.R. Ashok kumar
» doi: 10.31838/ecb/2023.12.s1-B.467

Abstract

Urinary tract infections (UTI) can occur in any portion of the urinary system, including the kidneys, bladder, ureters, and urethra. Urinary tract infection occurs with a higher incidence in women than in men. Although associated UTIs can occur, postmenopausal women are less likely to experience them. Women experience a higher incidence of community-onset UTI, which has previously been linked to anatomical characteristics that allow uropathogenic bacteria to move from a reservoir in the gastrointestinal tract to the urinary tract. In particular, women have shorter urethras than males do, as well as a vaginal/perineal milieu that may make it easier for uropathogens to colonise the urethra and, consequently, an indwelling catheter. In general, localized genitourinary symptoms, urinary tract inflammation as shown by pyuria, and a urine culture with an identifiable urinary pathogen are necessary for an older adult to have a symptomatic UTI. Some UTIs are straightforward and treatable with over-the-counter medications. These often need longer treatment regimens, various antibiotics, and perhaps further workups. UTIs are primarily caused by E. coli in hospitalized and outpatient patients, accounting for 75% and 65% of cases, respectively. K. pneumoniae is the second causative organism, which accounts for about 6-8% of UTI infections. The Gold standard methods for identifying or detecting pathogenic bacteria in the urine are based on cultural enrichment, isolation of the bacteria, and growth to increase cell number to detectable levels. Antimicrobial therapy is the cornerstone of treating a bacterial infection including urinary tract infection. The use of antibiotics in asymptomatic patients should be avoided due to the risk of increased Antimicrobial resistance. The increased risk to develop complicated urinary tract infections with the systematic symptoms can be noticed by the signs of fever, flank pain, urosepsis, pyelonephritis, and prostatitis requires a longer treatment duration.

Article Details