Urinary Tract Infection (UTI)
Assoc. Prof. Dr. Uygar Miçooğulları, FEBU · Urology and Andrology in İzmir
What Is a Urinary Tract Infection?
Definition: Also called urinary system infection, this condition is the inflammatory response of the urinary system (kidney, ureter, bladder, urethra) to bacterial attack. It is named according to the part of the urinary system it affects:
If the bladder is affected, it is called cystitis;
if the kidney is affected, pyelonephritis;
if the urethra is affected, urethritis.
The agents most often responsible for these infections are E. coli (70-95%), staphylococci (5-10%) and other enterobacteria (Proteus, Klebsiella, etc.). In addition, sexually transmitted agents such as gonorrhea, chlamydia and mycoplasma also cause urinary tract infections, particularly urethritis.
Symptoms
Burning and pain when urinating
Foul-smelling urine
Frequent urination
Dark or red-colored urine
Weakness and fatigue
Lower abdominal pain
If there is a kidney infection:
Fever
Nausea and vomiting
Flank pain
Urinary tract infections are among the most common bacterial infections in women. One in two women will have a urinary tract infection requiring antibiotic treatment during her lifetime, and 1/5 of these infections become chronic.
Urinary infections are more common in women because the urinary duct, called the urethra, is shorter, allowing bacteria to reach the bladder more easily. Because urinary tract infections are not very common in men, when they do occur the underlying cause should be investigated, prostate diseases in particular.
Diagnosis
When cystitis is suspected, urinalysis together with the clinical findings is sufficient. However, in some cases further tests such as urine culture, ultrasonography or other imaging methods and cystoscopy may be needed.
Treatment
Antibiotic treatment is always recommended for active infections. So what can we do to reduce how often these infections occur?
Thanks to the proanthocyanidin molecule it contains, cranberry juice prevents bacteria from adhering to the bladder wall, and its antioxidant properties strengthen the immune system. Drinking 1 glass a day reduces the frequency of urinary tract infections by up to 50%.
Probiotic yogurt, kefir and some cheeses lower urine pH, produce hydrogen peroxide, a powerful antibacterial, and regulate the flora of the genital area, significantly reducing the frequency of urinary tract infections.
Increasing daily fluid intake,
Breaking the habit of holding urine,
Getting enough vitamin C,
Paying attention to genital and sexual hygiene,
Wiping correctly after using the toilet are also important measures to take in this regard.
With the simple measures mentioned above, urinary tract infections can largely be prevented, and the side effects and resistance that may develop from antibiotic use can be avoided.
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