Urinary tract infection

Urinary tract infection is an inflammatory process. In this case, the kidney parenchyma is not involved in the pathological process.

Infection of the urinary tract in children has symptoms that are nonspecific. Their difference is noted depending on the severity of the disease and the age of the patient. Very rarely noted the presence of orhoepididymita. The manifestation of signs of inflammation and soreness in the scrotal area may indicate a torsion of the testicle. In newborns, the infection of the urinary tract often does not have a clear localization. For young children, the condition is characterized by manifestations of the gastrointestinal tract in the form of diarrhea or vomiting. 13.6% of children with fever in the first few weeks are susceptible to infection. Rarely, the condition can manifest as a septic shock. In young children, erased manifestations of the inflammatory process are noted. Since the age of two, infection of the urinary tract is manifested by frequent emptying, pain over the pubis, in the back or abdomen, dysuria. The condition can occur with or without a rise in temperature.

Urinary tract infection is quite common in patients in old age. This is due to the influence of a number of factors, including changes in normal anatomical and physiological features in the pelvic organs (prolapse), epithelial incompetence, and reduced mucus production. The development of inflammation is accompanied by a weakening of immunity, a disorder of microcirculation, increased contamination of the urethral area due to incontinence of urine and feces.

As practice shows, infections of the genitourinary system can manifest themselves in the form of severe complications, and it is absolutely asymptomatic.

For the development of the disease must be present predisposing factors and a microbial agent.

Most often, patients' complaints consist of soreness and burning sensation in the urethral cavity, accompanied by frequent urination. In this case, unpleasant sensations can be given to the perineum. In addition, the mucopurulent, as well as with an admixture of excretory blood from the urethra, are characteristic.

A laboratory test shows the change in the general blood test. For some patients, the functional tubular and glomerular apparatus is a typical disorder. Cystoscopy detects changes on the mucosa lining the bladder. To the cardinal sign of infection include bacteriuria more than one hundred and five microbial bodies in a milliliter of urine, which is taken from the middle of the free morning jet, or other degree of bacteriuria with suprapubic puncture.

Acute infectious processes, as well as exacerbations of chronic currents, suggest immediate antimicrobial therapy. Thus, the spread of damaging effects on the kidneys is prevented. In this case, as a rule, the initial preparation is selected in accordance with the knowledge of the etiological characteristics of the possible pathogens, their sensitivity to the medication used, and also taking into account the experience of the previous treatment, clinical manifestations, the age of the patient, the availability of drugs, the alleged side effect of the application.

In case of ineffectiveness of empirical therapy for three days, a correction is made by changing the antibiotic. This takes into account the data of urine culture. The mild course of infectious processes involves oral forms of antimicrobial medications. In severe forms of the disease, it is expedient to use "stepwise" therapy, which prescribes parenteral agents for the first three or five days. Later (if the process is facilitated), they are supposed to be replaced with oral medications.