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Thursday, August 25, 2011

Urinary Tract Infection (UTI)

Urinary tract infection is the most common bacterial infection. Most sufferer age around 20 years and newly married women. UTI in male is uncommon.



Organism
1. E.coli (most common)
2. proteus
3. pseudomonas 
4. streptococcus
5.  staphylococcus

Clinical feature
1. sudden onset of frequency of micturation,
2. burning sensation of micturation
3. pain in pubic region during and after urination
4. intense desire to pass more urine after urination
5. urine may be cloudy and unpleasant odour
6. may be visibe blood urine or microscopic haematuria,
7. pain in back or kidney region.


INVESTIGATIONS
1. Urine fore routine and microscopical examination
2. Culture and sensitivity of urine
3. X-ray of KUB region for stone
4. USG

Management
General
1. Please take plenty of fluid
2. Fresh fruits
Specific
1. Ciprofloxacin 500 mg times a day for 7- 10 days
Or
2. Co-amoxiclav 250/125 mg 3 times for 7-10 days.
Or
3. Cefuroxime 250mg twice daily for 7-10 days.