Management of recurrent urinary infection

1967 ◽  
Vol 5 (10) ◽  
pp. 37-39
Keyword(s):  
Urinary Infection ◽  
Chronic Pyelonephritis ◽  
Common Finding ◽  
Common Cause ◽  
Urinary Infections ◽  
Women And Children

Recurrent urinary infections, particularly common in women and children, can lead to or be evidence of chronic pyelonephritis - a common finding at necropsy and a common cause of uraemic death, but often undiagnosed in life.

scholarly journals Study of anaemia profile in a tertiary care hospital in Karnataka, India

2020 ◽  
Vol 7 (4) ◽  
pp. 582
Author(s):  
Appu Patil
Keyword(s):  
Tertiary Care ◽  
Public Health Problem ◽  
Severe Anaemia ◽  
Common Finding ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Common Cause ◽  
Working Age ◽  
Systemic Examination ◽  
A Prospective Study

Background: Anaemia is a major public health problem worldwide especially in developing countries like India. Nutritional cause of anaemia continues to predominate as the most common cause of anaemia. Objective of this study is to determine the clinical and laboratory profile of anaemia among patients admitted to our hospital.Methods: Our study was a prospective study in which thirty nine patients of anemia admitted to Medicine ward in SNMC and HSK hospital were studied for their clinical and laboratory characteristics. Duration of the study was 7 months from July 2019 to January 2020.Results: Anaemia was more common among females (65.1% of total patients). Patients aged less than 60 years contributed to 85% of patients. Pallor was the universal finding present in 100% of patients. On systemic examination haemic murmurs on auscultation was the most common finding present in 28.2% followed by hepatomegaly (17.94%). Microcytic and dimorphic anaemia constitute the bulk of anaemia.Conclusions: Nutritional anaemia particularly iron deficiency anaemia is the most common cause of anaemia. It tends to affect the working age group and females predominantly. Patients continue to present with severe anaemia to the hospital.

scholarly journals PREVALÊNCIA DE INFECÇÃO URINÁRIA E DE Actinomyces suis EM PORCAS GESTANTES E SUA CORRELAÇÃO COM ALGUNS PARÂMETROS FÍSICOS E QUÍMICOS DA URINA

2000 ◽  
Vol 5 (1) ◽  
Author(s):  
G.C. ALBERTON ◽  
P.R. WERNER ◽  
J. SOBESTIANSKY ◽  
O.D. COSTA ◽  
W. BARIONI JÚNIOR
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Urinary Infection ◽  
Urine Samples ◽  
Chemical Parameters ◽  
Presumptive Diagnosis ◽  
Urinary Infections ◽  
Physical And Chemical Parameters ◽  
Tract Infections ◽  
Physical And Chemical

O presente trabalho teve como objetivo determinar a prevalência de infecção urinária e da bactéria Actinomyces suis na urina de 1745 porcas gestantes da região Sul do Brasil e correlacionar essa prevalência com parâmetros físicos e químicos da urina. A prevalência de infecção urinária e de A. suis foi de 28,31% e 20,63%, respectivamente. Observou-se correlação negativa entre infecção urinária e A. suis, ou seja, as porcas que apresentaram infecção urinária tinham menor prevalência de A. suis (13,67%) do que as que não a apresentaram (23,12%). Da mesma forma, as porcas portadoras de A. suis, tinham menor prevalência de infecção urinária (17,43%) do que as não portadoras (28,62%). Apenas 3,60% das porcas examinadas eram positivas para infecção urinária e A. suis simultaneamente. A cor predominante da urina foi a amarelo claro, tanto para as porcas portadoras ou não portadoras de infecção urinária ou de A. suis. Constatou-se a presença de turbidez em 83,15% das amostras, sendo que em 96,18% das amostras turvas observou-se a presença de cristais. Finalmente, a cor, aspecto, densidade, pH e presença de cristais, foram considerados como parâmetros sem valor para o diagnóstico presuntivo de infecção urinária em porcas gestantes. Prevalence of urinary tract infections and of Actinomyces suis in urine from pregnant sows. Correlation with some urine’s physical and chemical parameters Abstract A survey has been carried out in urine samples from 1745 pregnant sows from Southern Brazil, in regard to the prevalence of urinary infections and of Actinomyces suis and its correlation with some of the urine physical and chemical parameters. Prevalence of urinary infections was of 28.31% and that of A. suis, 20.63%. However, a negative correlation has been found between the incidence of urinary infection and the presence of A. suis, the prevalence of the latter being lower in sows which are positive for urinary infections (13.67%) than in those without urinary infection (23.12%). At the same time, sows positive for A. suis display a lesser number of urinary infection (17.43%) than those negative for the bacteria (28.62%). Only in 3.60% of the sows, urinary infection and A. suis occurred simultaneously. Due to the presence of crystals, turbidity was frequently observed in sow’s urine (83.15%). Crystals were present in 96.18% of sow’s turbid urine samples. Furthermore, color, turbidity, density, pH and the presence of crystals were not considered of value for the presumptive diagnosis of urinary tract infections in pregnant sows.

Allergy and Urinary Infections: Is There an Association?

PEDIATRICS ◽  
1972 ◽  
Vol 49 (5) ◽  
pp. 786-787
Author(s):  
Arthur J. Horesh
Keyword(s):  
New York ◽  
Pediatric Patients ◽  
Urinary Infection ◽  
Urinary Infections ◽  
The University

I have now been treating pediatric patients for allergy problems for 44 years and have always been interested in the association of allergy with urinary infections. Therefore the letters of Dr. Gerrard1 and his co-workers from the University of Saskatchewan and of Dr. Anne Harrison2 from Rochester, New York have interested me. In 1955 I presented a paper before the allergy section of the Academy of Pediatrics entitled Allergic Pyelitis,3 reporting two patients with recurrent urinary infections with pyuria, one cured completely with allergic management–the other's genito-urinary infection recurred, but only in ragweed season.

The interpretation of bacteriuria

1963 ◽  
Vol 1 (13) ◽  
pp. 51-52
Keyword(s):  
Diabetes Mellitus ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Infection ◽  
Quantitative Culture ◽  
Hypertensive Disease ◽  
Screening Measure ◽  
Urinary Infections ◽  
In Pregnancy

Effective antibacterial therapy in many acute and all chronic or recurrent urinary infections requires identification of the infecting bacteria by smear or culture. Since bacteria are often present in the absence of infection, however, quantitative culture is being used increasingly to distinguish urinary tract infection from contamination. It is also recommended as a screening measure in pregnancy, diabetes mellitus, hypertensive disease, and other conditions in which asymptomatic urinary infection is a special danger.

Management of incus dislocation by physiological repositioning of the incus

2002 ◽  
Vol 116 (8) ◽  
pp. 589-592 ◽  
Author(s):  
Robert Mills ◽  
Nicola Starritt
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Posterior Approach ◽  
Road Traffic ◽  
Ossicular Chain ◽  
Common Finding ◽  
Common Cause

Data have been collected prospectively from 11 patients (12 affected ears) with traumatic disruption of the ossicular chain. Isolated dislocation of the incus is the most common finding in our cases, but two had stapes arch features and two had fractures of the tympanic bone. The most common cause of the injuries was a road traffic accident. We describe a technique designed to reposition the incus in its physiological position. This involves a combination of a tympanotomy and a posterior approach to the attic region. The results in five patients (six ears) treated in this way are presented.

Contemporary Evaluation of Unilateral Vocal Cord Paralysis

1992 ◽  
Vol 107 (1) ◽  
pp. 84-90 ◽  
Author(s):  
David J. Terris ◽  
David P. Arnstein ◽  
Henry H. Nguyen
Keyword(s):  
Cost Effectiveness ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Chest Roentgenogram ◽  
Common Finding ◽  
Surgical Trauma ◽  
Common Cause ◽  
Evaluation Protocol ◽  
Cost Efficient ◽  
Unilateral Vocal Cord Paralysis

Unilateral vocal cord paralysis is a common finding in the practice of otolaryngology. Multiple etiologies have been described and have not changed appreciably in the last century. We attempted to characterize the contemporary evaluation of unilateral vocal cord paralysis, with consideration given to cost-effectiveness. Thirty-one board-certified otolaryngologists were interviewed to determine their typical evaluation protocol. The average cost of an evaluation totaled $1706.18, with a range of $112.56 to $3439.52. Otolaryngologists with more years of experience tended to pursue briefer and less expensive evaluations. The charts of 187 patients with a diagnosis of vocal paralysis from 1983 to 1991 were reviewed, of which 113 were evaluable. Eighty-four of these 113 (74%) were unilateral. In 48 of 84 cases (57%), the cause was apparent at the time of diagnosis. In 36 of 84 cases (43%), an evaluation was necessary. A diagnosis was achieved in 27 of these 36 instances (75%), with the most useful test being a chest roentgenogram ( n = 13, 48%). The most common cause of unilateral vocal cord paralysis in our series was neoplasm ( n = 34, 40%), followed by surgical trauma ( n = 29, 35%). In no instance was a malignancy discovered subsequent to the initial evaluation. The most cost-efficient, inclusive diagnostic evaluation of unilateral vocal cord paralysis involves a stepwise progression through the tests that are most likely to yield a diagnosis, with endoscopy reserved for those cases in which simpler, less invasive tests have not indicated a cause.

scholarly journals Risk Factors For Severity Of Thrombocytopenia In Full Term Infants: A Single Center Study

2020 ◽  
Author(s):  
Amira M Saber ◽  
Shereen P Aziz ◽  
Al Zahraa E Almasry ◽  
Ramadan A Mahmoud
Keyword(s):  
Neonatal Sepsis ◽  
Neonatal Intensive Care ◽  
Mode Of Delivery ◽  
Full Term ◽  
Common Finding ◽  
Inclusion Criteria ◽  
Term Infants ◽  
Common Cause ◽  
Postoperative State ◽  
Platelet Transfusions

Abstract Background Neonatal thrombocytopenia (NT) is a common finding in the neonatal intensive care unit (NICU). The main aim of this study was to assess the prevalence, rick factors and outcomes of severe NT in full term (FT) infants. Method: During the study period, all FT infants who met the inclusion criteria for NT on two occasions were included. Maternal data such as maternal age, weight, gestational age, mode of delivery, and history of systemic diseases were recorded. Furthermore, neonatal data such as gender, neonatal weight, causes/duration of admission, types of respiratory support used, blood count and outcomes for neonates admitted to the NICU were recorded. Results In total, 55 FT infants with NT met the inclusion criteria. In all, 29 (52.73%) cases had severe NT. The most common cause of NT was neonatal sepsis (20 cases, 37.03%), followed by a postoperative state (5 cases, 9.25%). Moreover, in cases of positive blood cultures, the most commonly isolated organism was Escherichia coli (6 cases, 10.90%), followed by Klebsiella (5 cases, 9.09%). Cases of severe NT, when compared to cases of mild/moderate NT associated with signs of bleeding and pulmonary/intraventricular hemorrhage (IVH) (P = 0.001), needed more platelet transfusions (P = 0.001) and had higher rates of mortality (P = 0.001). Conclusion Severe NT occurred in 52.73% of cases. The most common cause of NT was neonatal sepsis, followed by a postoperative state. Furthermore, severe NT, when compared to mild/moderate NT associated with signs of bleeding and pulmonary/IVH, needed more platelet transfusions and had increased mortality.

scholarly journals Pleuroscopy in exudative pleural effusion: A North Malaysia experience

2021 ◽  
Vol 1 (2) ◽  
pp. 1-6
Author(s):  
Arvindran Alaga ◽  
Kamarul Ariffin Hamzah ◽  
Eng Liang Tan ◽  
Muhamad Amin Ibrahim ◽  
Razul Md Nazri Md Kassim
Keyword(s):  
Pleural Effusion ◽  
Pulmonary Oedema ◽  
Diagnostic Yield ◽  
Descriptive Analysis ◽  
Granulomatous Inflammation ◽  
Common Finding ◽  
Safe Procedure ◽  
Common Cause ◽  
Analysis Study ◽  
Exudative Pleural Effusion

Background: Pleuroscopy is one of the investigation modalities available for further evaluation of exudative pleural effusion. Aims of this study is to determine the diagnostic yield and common cause for pleural effusion that underwent pleuroscopy in Respiratory department, Hospital Sultanah Bahiyah .Methods: This is a retrospective descriptive analysis study of 106 patient who underwent pleuroscopy in Hospital Sultanah Bahiyah between July 2014 till Dec 2016. Hospital Sultanah Bahiyah is the only centre doing this procedure in North Malaysia.Result: Biopsy were done in 91% of the cases with diagnostic yield of up to 97%. Most common finding were malignancy (55%) with adenocarcinoma being the commonest subtype. Second commonest finding are granulomatous inflammation (19%) which is not surprising given our burden of tuberculosis. Majority of our patient were male (58%) with mean age of 60 years old. With regard to safety only one case develop complication where the patient develops re-expansion pulmonary oedema with no procedure related mortality.Conclusion: Pleuroscopy is a very safe procedure. Despite the high Tuberculosis burden in Malaysia the most common cause for exudative pleural effusion were due to malignancy, hence pleuroscopy should be consider in all cases of exudative pleural effusion.

Urinary tract infections in older patients

2003 ◽  
Vol 13 (2) ◽  
pp. 119-127 ◽  
Author(s):  
WJ MacLennon
Keyword(s):  
Urinary Tract ◽  
Old Age ◽  
Urinary Tract Infections ◽  
B Lymphocyte ◽  
Cell Function ◽  
Urinary Infection ◽  
Bladder Control ◽  
Urinary Infections ◽  
Oestrogen Level ◽  
Tract Infections

Factors increasing the risk of urinary tract infections in old age include reduced T lymphocyte regulation, decreased B lymphocyte antibody synthesis, impaired killer T cell function and slowed neutrophil chemotaxis. More practical causes for a high incidence of urinary infections are multiple pathology and poor nutrition. In women, a low oestrogen level increases the intravaginal pH, resulting in the lactobacillus being replaced by a pathogenic agent. Faecal stasis may also increase the risk of a urinary infection. The presentation and severity of a urinary infection are affected by intercurrent disorders such as diabetes mellitus, poor bladder control, concurrent medication and cognitive impairment. Other relevant but less common disorders are bladder calculi and tumours. Common signs of pyouria in old age are urinary incontinence, anorexia, lethargy and confusion. The infection may even be asymptomatic and this is discussed later.

scholarly journals Managing Recurrent Urinary Tract Infections in Women

2005 ◽  
Vol 1 (1) ◽  
pp. 39-50
Author(s):  
Lindsay E Nicolle
Keyword(s):  
Risk Factors ◽  
Urinary Tract ◽  
Bacterial Infection ◽  
Postmenopausal Women ◽  
Urinary Tract Infections ◽  
Urinary Infection ◽  
Management Strategies ◽  
Recurrent Urinary Tract Infections ◽  
Urinary Infections ◽  
Tract Infections

Recurrent urinary infections are a common problem for women of all ages. Risk factors for urinary infection differ for pre- and postmenopausal women. Management strategies are well established, and include treatment of the acute symptomatic episode, and decreasing the frequency of subsequent episodes. This update focuses on the management of acute uncomplicated urinary infection, the most common bacterial infection in women.

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