URINARY TRACT INFECTION (UTI) IN MALES

Urinary Tract Infection (UTI) in males



Urinary Tract Infection (UTI) in males

Introduction

"Urinary tract infection is a problem often seen in the 60-80 years old patients, especially males living in nursing homes or who have prolonged hospitalizations, where the incidence reaches 50%, mainly due to the prostration, the deficiencies in hygiene and procedures that are often subjected, such as surveys, "says Dr. Arturo Ayala, German Clinic nephrologist. Acute bacterial cystitis or urinary tract infection (UTI) is an inflammation of the lower urinary tract (bladder or urethra), caused by a bacterial infection, where infectious agents are usually the Enterobacteriaceae such as Escherichia coli. This increased incidence of UTI in the 60-80 years old patients has several reasons (Beier 1999).

For men over 60-80 years, influences the development of prostate adenoma (enlarged prostate) leading to low obstructive uropathy, whereas in women, hormonal changes of menopause, they increase the likelihood of infection because it changes the balance of bacterial flora. These problems must be added other diseases of old foster the development of urinary tract infection, such as diabetes or urinary and fecal incontinence. The classic symptoms that can lead to suspicion of a UTI include painful urination, frequent urination and urgency, discolored and foul or strong smell of urine, and pressure on the bottom of the pelvis. However, in the 60-80 years old male patients, also need to be aware of other manifestations, as many times, they are not able to perceive the disease themselves. "Sometimes changes occur in behavior, such as irritability or altered level of consciousness," says the specialist.

Sometimes UTI is asymptomatic, that is, the person feels no discomfort and their overall commitment, then live with the condition in perfect harmony. Often the latter is what causes people to consult and conduct tests to detect the problem. If infection these cells revealed the presence of pus. This can be supplemented with a urine culture, in order to determine the causative agent and the appropriate antibiotic for treatment. When there are obvious symptoms of infection is important to consult and follow rigorously the instructions of the specialist to prevent it from spreading to the kidneys. "Sometimes, it can lead to death from sepsis, i.e., by the passage of germs and toxins into the bloodstream," explains the expert. However, when there are no obvious symptoms of UTI is not recommended over treating this condition. According to Dr. Ayala, the main mistake made is the use and abuse of antibiotics in patients with urinary infection, but no complaints: When there are no symptoms, should not be treated with antibiotics because they produce primary resistance, i.e., the person is likely to further develop a urinary tract infection more aggressive and resistant.

Body: Discussion and Analysis

In 60-80 years old male patients, there are certain clinical features of urinary tract infections caused by a reduced reactivity, including impaired immunity and the coagulation system, concomitant diseases, especially diabetes, BPH, stone disease, and others, mental health problems with a reduction in criticism lack of respect for ...