Detection of Urinary Tract Infections in 3- to 5-Year-Old Girls by Mothers Using a Nitrite Indicator Strip

PEDIATRICS ◽  
1976 ◽  
Vol 57 (6) ◽  
pp. 829-835
Author(s):  
Calvin M. Kunin ◽  
Jane E. DeGroot ◽  
David Uehling ◽  
Vadakepat Ramgopal
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Past History ◽  
Effective Means ◽  
Target Population ◽  
Target Area ◽  
Large Populations ◽  
History Of ◽  
Tract Infections ◽  
At Home

A program to detect urinary tract infections among 3- to 5-year-old girls was conducted in Madison-Dane County, Wisconsin using local pharmacies as the distribution site for test kits. Screening was conducted at home by mothers with a nitrite dip-strip on three consecutive first morning specimens. Twenty-one percent of the target population participated during a one-month study period. Eighteen cases were found among 1,573 participants (1.1%). In addition, 243 girls other than those in the target area or age group participated and yielded eight additional cases, for a total of 26 cases among 1,816 total participants. The rate of false-positive nitrite tests was 0.3%. Newspapers were the most effective means of alerting the public to the program. The only factors which were associated with less awareness or participation were low socioeconomic and rural residence. Past history of infection, minor urinary symptoms, and pyuria were common among the bacteriuric girls. Immunoglobulin-coated bacteria suggestive of tissue invasion were present in one third of the cases. Vesico-ureteral reflux was present in five and caliectasis in two of 23 girls studied. Despite the likelihood that some bacteriuric girls, particularly those infected with gram-positive organisms were not detected, screening at home appears to be a highly efficient method of detecting urinary tract infections in large populations of preschool children.

scholarly journals Incidental Finding of Urethral Diverticulum in a Woman with History of Recurrent Urinary Tract Infections

2017 ◽  
Vol 11 (3) ◽  
pp. 163-165
Author(s):  
Vishnu R. Mani ◽  
Aleksandr Kalabin ◽  
Ankita Mishra ◽  
Brian Davis-Joseph
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Epigastric Pain ◽  
Past History ◽  
Incidental Finding ◽  
Urethral Diverticulum ◽  
Mixed Composition ◽  
Recurrent Urinary Tract Infections ◽  
History Of ◽  
Tract Infections

We present an incidental finding and management of a urethral diverticulum containing mixed composition of struvite and ammonium urate stones. Status post sleeve gastrectomy, patient presented to our bariatric clinic with epigastric pain associated with nausea and vomiting. A computed tomography scan was performed to rule out any complications of the procedure in which urethral stones were reported contained within a diverticulum. This finding, in retrospect, correlated with patient's past history of recurrent urinary tract infections. Over all, urethral diverticulum with struvite stones is a rare entity with few reported cases in literature thus a high index of suspicion is needed in patients with related symptoms. Here a case presentation and treatment rationale are described along with a brief review of existing literature.

scholarly journals Risk factors of multidrug-resistant bacteria in community-acquired urinary tract infections

2021 ◽  
Vol 21 (1) ◽  
pp. 214-9
Author(s):  
Ertugrul Guclu ◽  
Fikret Halis ◽  
Elif Kose ◽  
Aziz Ogutlu ◽  
Oğuz Karabay
Keyword(s):  
Risk Factors ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Multidrug Resistant ◽  
Antibiotic Usage ◽  
Advanced Age ◽  
History Of ◽  
Tract Infections

Background: Urinary tract infections (UTIs) are one of the most seen infection among community. Objectives: In this cross-sectional study we aimed to investigate the risk factors of multidrug-resistant (MDR) bacteria that caused community-acquired UTI (CA-UTI). Methods: Consecutive patients admitted to the Urology and Infectious Diseases policlinics with the diagnosis of CA-UTI were included in the study. A standard form including possible predisposing factors for MDR bacteria was applied. Results: In total, 240 patients (51.3% females) were enrolled in the study. The mean age of participants were 59.8 ± 18.3 years old. Escherichia coli (n =166; 69.2%)was the most frequently isolated bacteria and its incidence was higher in females than in males (p=0.01). In total, 129 (53.8%) of the identified pathogens were MDR bacteria. According to multivariate analysis, the use of antibiotics three or more times increased the risk of infection with MDR bacteria by 4.6 times, the history of urinary tract infection in the last 6 months by 2 times, being male and over 65 years old by 3 times. Conclusion: Doctors should consider prescribing broad-spectrum antibiotics in patients with severe UTIs with a history of UTI, advanced age, male gender, and multiple antibiotic usage, even if they have a CA-UTI. Keywords: Urinary tract infection; community acquired; multidrug-resistant; male; multiple antibiotic usage; advanced age.

Clinical and urodynamic parameters associated with history of urinary tract infections in women: a prospective study

2007 ◽  
Vol 86 (9) ◽  
pp. 1130-1135 ◽  
Author(s):  
Stavros Athanasiou ◽  
Aris Antsaklis ◽  
Gregoria I. Betsi ◽  
Myrtia Sotiropoulou ◽  
Matthew E. Falagas
Keyword(s):  
Urinary Tract ◽  
Prospective Study ◽  
Urinary Tract Infections ◽  
History Of ◽  
Tract Infections ◽  
A Prospective Study ◽  
Urodynamic Parameters

scholarly journals A 57-year-old Man With a History of Prostatectomy and Pelvic Irradiation Presents With Recurrent Urinary Tract Infections, Hematuria, and Pelvic Pain

Urology ◽  
2013 ◽  
Vol 81 (2) ◽  
pp. 221-225 ◽  
Author(s):  
David C. Moore ◽  
Kirk A. Keegan ◽  
Matthew J. Resnick ◽  
Rosana Eisenberg ◽  
Ginger E. Holt ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Pelvic Pain ◽  
Pelvic Irradiation ◽  
Recurrent Urinary Tract Infections ◽  
History Of ◽  
Tract Infections

scholarly journals Labial Adhesions Causing Recurrent Urinary-Tract Infections in an Elderly Woman

2019 ◽  
Vol 2019 ◽  
pp. 1-2
Author(s):  
Masashi Takemaru ◽  
Noriko Aramaki-Hattori ◽  
Chisato Tsue ◽  
Kazuo Kishi
Keyword(s):  
Postmenopausal Woman ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Elderly Woman ◽  
Prior History ◽  
Recurrent Urinary Tract Infections ◽  
History Of ◽  
Tract Infections ◽  
Labial Adhesion

A 91-year-old postmenopausal woman with a prior history of two labial-adhesion separations suffered from recurrent urinary-tract infections. We were able to successfully treat her labial adhesions using surgery.

scholarly journals Urogenital tuberculosis, the cause of ineffective antibacterial therapy for urinary tract infections

2017 ◽  
Vol 10 (3) ◽  
pp. 95-101 ◽  
Author(s):  
Ekaterina Kulchavenya ◽  
Andrey Cherednichenko
Keyword(s):  
Drug Resistance ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Antibacterial Therapy ◽  
Recurrent Utis ◽  
E Coli ◽  
Total Prevalence ◽  
Urogenital Tuberculosis ◽  
History Of ◽  
Tract Infections

Background: Urogenital tuberculosis (UGTB) is one of the great imitators; it is commonly masked by urinary tract infections (UTIs). We aimed to estimate how many UGTB patients were among patients with a long history of UTIs. Material and Methods: A total of 244 patients with recurrent UTIs and suspected UGTB were enrolled in an open, noncomparative prospective study. Their urine and expressed prostate secretion or ejaculate were cultured (a total of 1446 samples), and 421 isolates with growth of ⩾104 colony-forming units (CFU)/ml were investigated for drug resistance. Typically, UGTB diagnosis is made by individual case. Results: All 244 patients had a long history of recurrent UTIs (on average, 7.9 ± 3.4 years); all received at least five courses of antibacterial therapy without good result. UGTB was diagnosed in 63 (25.8%), and in 41 of these (65.1%), there was comorbidity of UTI and UGTB. Of 1446 samples investigated, 421 (29.1%) were positive, and 1025 were negative. Escherichia coli was found in 57.3% of gram-negative microflora and in 29.0% only among all uropathogens. E. coli was resistant to amoxicillin/clavulanate in 51.5–57.1%, to cefotaxime in 50.0–52.0%, to gentamycin in 33.3–59.5%, to ciprofloxacin in 63.2–66.7%, to levofloxacin in 54.8–45.2%, and to nitrofurantoin in 23.5–20.8% in 2015 and 2016, respectively. If, in 2015, all isolates of E. coli were susceptible to imipenem, in 2016, 7.1% of strains were resistant to this antibiotic. Level of drug-resistance was higher in 2016, excluding only levofloxacin and nitrofurantoin. Conclusions: Total prevalence of UGTB among UTI patients with poor results of antibacterial therapy was 25.8%. Comorbidity of UTI and UGTB was diagnosed in 65.1%.

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