Flower

UTI - a problem for many

by S Sharma | 07 DEC 2017

UTI a problem for many
 Image used for representational purpose only

Urinary tract infections (UTI) are one of the commonest infections of the human body, says Dr Sanjay Sinha, Senior Consultant Urologist and Transplant Surgeon, Apollo Hospitals

 

The implications can vary from innocuous to life-threatening depending on the severity of the infection and the fitness of the person. Elderly, malnourished, small children, patients taking steroids or other immunosuppressive drugs, pregnant women, diabetics or those who have long-term catheters are more prone to serious infection. However, for most, simple outpatient medication can take care of the problem. Occasionally, admission and injectable antibiotics might be indicated. Let us consider specific groups of patients with urine infection.

 

UTI in special groups: 

 

1. Children: Urine infections are rare in children but when they do occur, one must search for congenital abnormalities that might have predisposed the child to infection (about 10%). Neglect of birth abnormalities can have serious long-term implications for the child.

 

2. Adult women: Urinary infections are very common in sexually active women. This is an ascending infection from bacteria that reside in the vagina. Initial evaluation is required to exclude diabetes or some other predisposing factor. Usually, simple medication suffices. In women with recurrent urinary infection, low dose prevention or post-intercourse preventive tablets can help. Although there is enthusiasm for home remedies such as cranberry juice, good quality evidence regarding its benefit is lacking.

 

3. Adult men: Infection may be associated with prostatic infection and this needs to be searched for and treated. Phimosis (tightening of the foreskin) may also be the culprit. In elderly men, age-associated BPH (benign prostatic hyperplasia) is a common trigger for urinary infection. 

 

4. Diabetics: These patients are especially prone to serious urinary infections. Good control of diabetes is the key to avoiding problems.

 

5. Pregnant women: Urine infection in pregnant women has a greater tendency to impact the kidneys (Pyelonephritis) and can lead to premature delivery. Screening for infection is an important standard part of obstetric care.

 

 Note of caution: Not all positive urine cultures are significant. Such culture reports can often originate from contamination. This is more likely if the colony count of bacteria is low or there is no corresponding abnormality on simple urine examination. It is important to judge the validity of the reports before embarking on costly and invasive tests. In fact, treating such individuals can be counterproductive replacing harmless bacteria with more virulent ones. 

 

Misconception 

Using public or common washrooms is the major cause of increasing urine infection — UTI among Indians.
“Actually that is a common misconception. Public bathrooms do not cause urinary tract infection. The only thing that women can catch from a dirty toilet seat is trichomonal infection of the vagina. Men don’t catch anything at all,” says Dr Sanjay Sinha, Senior Consultant Urologist and Transplant Surgeon, Apollo Hospitals.

 

It's a common notion that using public washrooms is associated with increased risk of urinary tract infection which is not actually true. “Bacteria commonly responsible for UTI can not survive in environment for long. However, using public toilets may cause worm infestation and it makes sense to cover the commode cover with clean paper before using it,” Dr Hari Kishan Boorugu, Consultant Physcian, Apollo Hospitals.


 Disclaimer: Welthi.com does not guarantee any specific results as a result of the procedures mentioned here, and the results may vary from person to person. Read more
Cochlear Implants to Aid Children With Hearing Difficulties - Surgery to help in improving speech and language skills among the young  Hyderabad, 14th October 2018: Hearing is a one of the most important sense that also plays a very crucial role in verbal

Cochlear Implants to Aid Children With Hearing ...

Surgery to help in improving speech and language s...
“Maxi-O Lipi Flow” world’s best device for dry eyes treatment launched in MaxiVision Eye Hospitals

“Maxi-O Lipi Flow” world’s best device for ...

Now freedom from dry eyes is just a step away in H...
Different bodies, one message

Different bodies, one message

Aishwarya Sharma, a fashion activist and founder a...
Pediatric Liver transplant in Gleneagles Global Hospitals

Pediatric Liver transplant in Gleneagles Global ...

The Gleneagles Global Hospitals Hyderabad is delig...
Child Obesity: A burgeoning barrier to healthy living

Child Obesity: A burgeoning barrier to healthy ...

The World Obesity Day is celebrated on 11th Octobe...
Get off your smart gadgets

Get off your smart gadgets

The repetitive motions of texting and typing can l...
Hyderabad Doctors successfully perform Asia's First Transcatheter Tricuspid Valve Replacement procedure

Hyderabad Doctors successfully perform Asia's ...

Only 40 such surgeries reported around the world...
SuVitas Launches Bangalore’s First Dedicated Transition Care Facility

SuVitas Launches Bangalore’s First Dedicated ...

Catering to a need for post critical care that has...
Itermittent Fasting: The How s and Why's

Itermittent Fasting: The How s and Why's

Intermittent Fasting is the latest global fitness ...
Our responsibility to our emotions

Our responsibility to our emotions

In this world, there are all kinds of people. Some...
Stop drowsing while driving

Stop drowsing while driving

A long spell of work or drive can lead to physical...
Eyes show you the world

Eyes show you the world

With increasing rate of air pollution, the ways it...