scholarly journals Salvarsan for diseases of the urinary tract

2021 ◽  
Vol 25 (11) ◽  
pp. 1238-1239
Author(s):  
A. Dmitriev
Keyword(s):  
Adverse Effect ◽  
Urinary Tract ◽  
Positive Result ◽  
Specific Treatment ◽  
Menstrual Function ◽  
Considerable Period

Loeb (Derm. Ztschr. Bd. 56, H. 2/3, 29), observing the course of gonorrhea in women simultaneously suffering from syphilis and taking specific treatment, noticed that in this case gonorrhea lasts much longer than in persons free of syphilis. A. observed 421 cases over a considerable period of time and on the basis of this material he believes that uterine gonorrhea, due to the delay of As in its mucosa and the effect on menstrual function, often has an adverse effect, while gonorrhea of ​​the canal proceeds faster due to the disinfecting effect salvarsan in the urine. With cystitis and pyelitis, a positive result is reflected in 60-80% of the cure of these processes.

scholarly journals Giant hydronephrosis in an 82-year-old woman with multiple comorbidities: a case report

2021 ◽  
pp. 216
Author(s):  
Keyword(s):  
Case Report ◽  
Urinary Tract ◽  
Specific Treatment ◽  
Rare Disorder ◽  
Giant Hydronephrosis ◽  
Tract Disorder

Giant hydronephrosis is a rare urinary tract disorder characterized by a collection arising from the kidney. Because of its complications, surgery remains the main treatment. Here we report the case of an 82-year-old woman with multiple comorbidities and diagnosis of giant hydronephrosis. After multidisciplinary concertation between urologists and geriatricians, no specific treatment was initiated. This case report highlights a non-specifically presentation of this rare disorder, including no symptom. The presence of multiple comorbidities has changed the management commonly reported in the literature.

scholarly journals Urinary Tract Infections among HIV-Positive Pregnant Women in Mwanza City, Tanzania, Are High and Predicted by Low CD4+ Count

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Tito Chaula ◽  
Jeremiah Seni ◽  
Nhandi Ng’walida ◽  
Alphaxaid Kajura ◽  
Mariam M. Mirambo ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Pregnant Women ◽  
Specific Treatment ◽  
Considerable Proportion ◽  
Hiv Positive ◽  
Multivariable Logistic Regression Analysis ◽  
Extended Spectrum Beta Lactamase ◽  
Significant Bacteriuria ◽  
Obstetric Population ◽  
Tract Infections

Introduction. Urinary tract infection (UTI) among pregnant women can lead to adverse maternal and foetal outcomes. UTI has been widely studied in the general obstetric population in Tanzania; the present study evaluated the magnitude, antimicrobial resistance, and predictors of UTI among HIV-positive pregnant women.Methods. Between March and May 2016 midstream urine samples from 234 women attending prevention of mother to child transmission of HIV (PMTCT) clinics were analyzed using standard methods. Data was analyzed by STATA version 11.0.Results. The prevalence of UTI was 21.4%, 50/234 [95% CI: 16.1–26.6]. The asymptomatically significant bacteriuria was higher than symptomatically significant bacteriuria (16.6% versus 4.7%,p<0.001). On multivariable logistic regression analysis, single marital status (OR: 2.6, 95% CI: 1.1–6.1, andp=0.026), low CD4+ counts of <200/μL (OR: 2.9, 95% CI: 1.1–7.7, andp=0.031), and having UTI symptoms (OR: 2.5, 95% CI: 1.1–6.0, andp=0.03) were independent predictors of UTI.Escherichia colipredominated (57.7%) and exhibited a low prevalence of resistance to nitrofurantoin (16.7%), gentamicin (10.0%), and ceftriaxone (13.3%). Four (13.3%) of these were extended-spectrum beta-lactamase producers.Conclusions. A considerable proportion of HIV-positive pregnant women in Mwanza have significant bacteriuria which calls for the need to introduce routine UTI screening at PMTCT clinics to guide specific treatment and prevent associated complications.

Urinary tract disorders

2015 ◽  
pp. 262-278
Author(s):  
Mikel Gray ◽  
Terran Sims
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Obstruction ◽  
Systemic Disease ◽  
Specific Treatment ◽  
Upper Urinary Tract ◽  
Urinary System ◽  
Nursing Management ◽  
Voiding Function ◽  
Urinary Tract Disorders ◽  
Acute Renal Insufficiency

Patients receiving palliative care frequently experience urinary system disorders. A malignancy or systemic disease may affect voiding function and produce urinary incontinence, urinary retention, or upper urinary tract obstruction. In addition, upper acute renal insufficiency or renal failure may occur if the upper urinary tract becomes obstructed. These disorders may be directly attributable to a malignancy or systemic disease or they may be caused by a specific treatment such as radiation, chemotherapy, or a related medication. Nursing management of patients with urinary system disorders is affected by the nature of the urological condition, the patient’s general condition, and the nearness to death.

Managing common adverse effects of clozapine

2018 ◽  
Author(s):  
Christopher Rohde ◽  
Jimmi Nielsen
Keyword(s):  
Quality Of Life ◽  
Adverse Effect ◽  
Adverse Effects ◽  
Sinus Tachycardia ◽  
Treatment Strategies ◽  
Specific Treatment ◽  
Clozapine Treatment ◽  
Clozapine Dose ◽  
Reduced Adherence

Adverse effects during clozapine treatment are common, and can be divided into very common (>10%: constipation, weight gain, metabolic side effects, sedation, and sialorrhea), common (1–10%: seizures and enuresis), and cardiac (sinus tachycardia, electrocardiogram abnormalities, and orthostatic hypotension) adverse effects. Most adverse effects are benign, but often reduce the quality of life for the patient, leading to reduced adherence and thereby psychotic relapse. As a consequence, treatment of these adverse effects is important and should not be neglected. In this chapter, we present specific treatment strategies for each adverse effect. In addition, we also emphasize that, by applying simple general managing strategies, such as reducing the clozapine dose, re-arranging the dose, or augmentation with another antipsychotic drug, many of these adverse effects can be avoided or reduced, which should reduce the need for specific rescue medications.

scholarly journals Diagnostic value of urine Gram staining for urinary tract infection in children

2009 ◽  
Vol 49 (4) ◽  
pp. 205
Author(s):  
I Nyoman Sartika ◽  
Ketut Suarta ◽  
Pungky Ardhani
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Positive Result ◽  
Likelihood Ratio ◽  
Microscopic Examination ◽  
Urine Culture ◽  
Positive Likelihood Ratio ◽  
Predictive Values ◽  
Sensitivity Specificity

Background Urine culture is the standard procedure for diagnosisof urinary tract infection (UTI). To reduce the cost and timespent in examining cultures, several rapid methods have beendeveloped including microscopic examination, chemical tests,and automated systems.Objective To determine the value of microscopic examination of a Gram stained uncentrifuged drop of urine for diagnosis of UTI.Methods We carried out a diagnostic test in Sanglah Hospital,Denpasar, from January 2007 to December 2007. Midstream urine specimens were Gram stained and then examined using a high power oil immersion lens. Twenty fields of view were examined and finding of two or more microorganisms was taken as positive result. Urine was also cultured and a yield of more than 105 CFU/ml was taken as positive result. The sensitivity, specificity, and predictive values of Gram stained urine were determined using urine culture as gold standard.Results From 43 subjects in our study, 12 subjects (28%) hadpositive urine culture. The prevalence was higher in males (58%)than females. UTI was most commonly caused by Klebsiellapneumoniae (33%). The sensitivity, specificity, positive predictivevalue, and negative predictive valuey, of the urine Gram stainwere 67% (95%CI 40 to 93), 9.7% (95%CI 91 to 100), 89%,88%, respectively. The accuracy, positive likelihood ratio, negative likelihood ratio, and post-test probability of the urine Gram stain were 88, 21, 0.3, and 89%, respectively.Conclusion Microscopic examination of Gram stained uncentrifuged drop of urine is specific and accurate, but not sensitive for the diagnosis of UTI.

scholarly journals Unani management of vesical calculus: a case report

2021 ◽  
Vol 9 (10) ◽  
pp. 3200
Author(s):  
Mohammad Shamim Khan ◽  
Qamrul Hasan Lari
Keyword(s):  
Adverse Effect ◽  
Developing Countries ◽  
Case Report ◽  
Urinary Tract ◽  
Advance Technology ◽  
Vesical Calculus ◽  
Surgery Patient ◽  
Urinary Tract Stones ◽  
Child Patient

Vesical calculus (Hisat-e-Masanah) accounts approximately 5% of all urinary tract stones. It has bimodal peaks age of incidence at 3 years in children in developing countries, and 60 years in adulthood. Despite advance technology of lithotripsy, the management of vesical calculus in children remains a challenge due to difficulty in passing of stone fragments and adverse effect of surgery. Hence alternative and safe treatment like Unani system of medicine can be adopted to avoid surgical procedure. The present paper deals with a case study in which a 10 years old male child patient suffered from a single vesical calculus was treated with Unani pharmacopeial medicine; Qurs Kaknaj (2 tablets), Qurs Kushta Hajrul Yahood (1 tablet) and Sharbat Buzoori Motadil (10 ml syrup) twice a day as oral administration, with the aim to evaluate the efficacy of drugs and to avoid surgery. Patient has shown excellent and significant result as 8×5 mm size of a stone flushed out at 3rd day of treatment without any operation.

scholarly journals Susceptibility of Urinary Tract Bacteria to Newer Antimicrobial Drugs

2016 ◽  
Vol 4 (1) ◽  
pp. 22-24
Author(s):  
Manjula Mehta ◽  
Jyoti Sharma ◽  
Sonia Bhardwaj
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Bacterial Infections ◽  
Antimicrobial Agents ◽  
Specific Treatment ◽  
Resistance Pattern ◽  
Antimicrobial Drugs ◽  
Economic Implications ◽  
E Coli ◽  
Tract Infections

Urinary tract infections (UTIs) are among the commonest types of bacterial infections. The antibiotic treatment for UTIs is associated with important medical and economic implications. Many different microorganisms can cause UTIs though the most common pathogens are E. coli and members of family Enterobacteriaceae. The knowledge of etiology and antibiotic resistance pattern of the organisms causing urinary tract infection is essential. The present study was undertaken to evaluate trends of antibiotic susceptibility of commonly isolated uropathogens using newer antimicrobial agents, prulifloxacin, fosfomycin (FOM) and doripenem. We conclude that maintaining a record of culture results and the antibiogram may help clinicians to determine the empirical and/or specific treatment based on the antibiogram of the isolate for better therapeutic outcome.

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