A 28 white female calls the office frequently requesting antibiotics for symptom

Question

A 28 white female calls the office frequently requesting antibiotics for symptoms of a UTI. She comes in for a visit 4-6 times yearly for dysuria, urgency, frequency and receives treatment for a positive urine for infection. She uses a combination low-dose OCP for contraception. She and her husband have sexual intercourse 1-2 times most weeks. On close questioning the patient, she usually washes her perineum before and gets up and empties her bladder after intercourse. In spite of this, she has recurrent ( ? 3 per year or 2 or more in 6 months) UTI’s that always occurs within 12 hours of intercourse. Today, she calls complaining of UTI symptoms and asks, “What can I do to prevent this from happening?”

What is the most common organism to cause UTIs, and where in the body is this organism part of the normal flora?

Who is at a higher risk of UTIs, males or females? how does anatomy play a role?

What is meant by an ascending infection? If a bladder infection is not treated and these infections are considered ascending infections, what may it then lead to?

Explanation / Answer

Too prevent from this happening , first clean the bladder area when washing to prevent contamination with bacteria from other parts of you the body. Emily the bladder at least every 4 hours. Avoid the use of spermicidial jelly. Drink extra water and consider drinking cranberry juice UTIoccurs primarily when micro organisms bacteria in most cases, climb to reach the urethra and bladder, ireters and kidneys. The bacteria that most common cause UTI is called Escherichia coli, and is part of the normal intestinal flora. Thus we can realize the importance of proper hygiene to prevent UTI infections. Urinary tract infections are common in women and many women experience more than one infection during their lifetimes. Risk factors specofic to women foe UTIs include: female anatomy. A woman has A shorter urethra than a man does which shortens the distance that bacteria must travel to reach the bladder. Urinary tract infections may rise from the ascending, hematogenous or lymphatic routes. Ascending routes of infection are most common among pateints with an established UTI. Most of the ascending infections of bacteria from periurethral area.UTI are most common in ascending infection they are most common in women they have a much shorter urethra and the vaginal openings is in close proximity to the parianal areas. Once bacteria reach the bladder bacteria multiply rapidly due to ideal environment of urine and can then travel up ureers to renal pelvis and parenchyma use of diaphragm with spermicide is associated with increase risk they create an ideal environment and provide a surface for adherence of bacterial growth

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