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Medical Forum / General / Alternative / October 2006

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Urinary tract infection

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Richard - 31 Oct 2006 10:41 GMT
Is there any alternative to antibiotics that can cure a UTI I have yet
to find anything other than antibiotics that work.
JohnDoe - 31 Oct 2006 11:25 GMT
> Is there any alternative to antibiotics that can cure a UTI I have yet
> to find anything other than antibiotics that work.

Why are you looking for an alternative if antibiotics work?
Richard - 31 Oct 2006 11:32 GMT
> > Is there any alternative to antibiotics that can cure a UTI I have yet
> > to find anything other than antibiotics that work.
>
> Why are you looking for an alternative if antibiotics work?

I am interested to see if there is an alternative.
JohnDoe - 31 Oct 2006 11:47 GMT
>>>Is there any alternative to antibiotics that can cure a UTI I have yet
>>>to find anything other than antibiotics that work.
>>
>>Why are you looking for an alternative if antibiotics work?
>
> I am interested to see if there is an alternative.

Ok, fair enough. I wouldn't know any though.
D. C. Sessions - 31 Oct 2006 13:26 GMT
> Is there any alternative to antibiotics that can cure a UTI I have yet
> to find anything other than antibiotics that work.

Patently our distant ancestors had ways to survive them, since
UTIs happen often enough in nature that making them lifelong
would require *some* kind of defense.

No proof, but I suspect that cranking up the fluid intake and
suffering through until the inflammatory response brings
enough of the usual immune reactions to the tissues (e.g.
bladder lining) to deal with them is about all you get.

Certainly utterly miserable and a fair chance of residual
scarring, but Nature isn't always concerned with making us
happy as long as we live to reproduce.

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Roman Bystrianyk - 31 Oct 2006 14:13 GMT
> Is there any alternative to antibiotics that can cure a UTI I have yet
> to find anything other than antibiotics that work.

Here are a couple of articles from the medical literature for your
consideration on cranberry.  Good luck and have a great day.

Roman

Cranberry Juice and Adhesion of Antibiotic-Resistant Uropathogens

Howell A. B., PhD, and Foxman B., PhD, "Cranberry Juice and Adhesion of
Antibiotic-Resistant Uropathogens", JAMA, June 19, 2002, Vol. 287, Num.
23, pp. 3082-3083

"Urinary tract infections (UTIs) account for more than 11 million
physician visits annually in the United States and have become
increasingly resistant to first-line antibiotic therapy. ... Methods.
Thirty-nine uropathogenic P-fimbriated E coli isolates were obtained
from women aged 18 to 39 years with clinically diagnosed,
culture-confirmed UTIs. Isolates were incubated for 20 minutes in urine
collected over a 12-hour period from healthy women before and after
consumption of 240 mL of commercial cranberry juice cocktail, and in
cranberry proanthocyanidin extract (pH 6.5) (2-fold dilution series).
... Results. Urine after cranberry juice cocktail consumption (average
pH 6.2) prevented adhesion of 31 (80%) of the 39 isolates and 19 (79%)
of the antibiotic-resistant isolates in all bioassays, while
preconsumption urine (average pH 6.2) failed to prevent adhesion in any
of the samples. Antiadhesion activity was evident in the urine within 2
hours and persisted for up to 10 hours following cranberry juice
cocktail ingestion. The extracted proanthocyanidins inhibited adhesion
of all isolates at concentration ranging from 6 to 375 µg/mL,
demonstrating potent in vitro anitadhesion activity against these
antibiotic-resistant strains. ... Conclusions. These data suggest that
consumption of cranberry juice cocktail may offer protection against
both sensitive and resistant strains of P-fimbriated E coli by a
mechanism that is not likely to increase selective pressures associated
with antibiotic resistance. In light of the evidence that antibiotic
usage is a contributing factor in development of
trimethoprim-sulfamethoxalzole-resisant uropathogenic E coli, further
trials are warranted to explore the use of cranberry juice as an
alternative strategy to prevent UTIs and potentially reduce the rate of
antibiotic resistance."

Randomised trial of cranberry-lingonberry juice and Lactobacillus GG
drink for the prevention of urinary tract infections in women

Kontiokari T., Sundqvist K., Nuutinen M., Pokka T., Koskela M., and
Uhari M., "Randomised trial of cranberry-lingonberry juice and
Lactobacillus GG drink for the prevention of urinary tract infections
in women", BMJ (British Medical Journal), June 30, 2001, Vol. 322, Num.
0, pp. 1571-1573

"OBJECTIVE: To determine whether recurrences of urinary tract infection
can be prevented with cranberry-lingonberry juice or with Lactobacillus
GG drink. Design: Open, randomised controlled 12 month follow up trial.
SETTING: Health centres for university students and staff of university
hospital. PARTICIPANTS: 150 women with urinary tract infection caused
by Escherichia coli randomly allocated into three groups.
Interventions: 50 ml of cranberry-lingonberry juice concentrate daily
for six months or 100 ml of lactobacillus drink five days a week for
one year, or no intervention. Main outcome measure: First recurrence of
symptomatic urinary tract infection, defined as bacterial growth
>/=10(5 )colony forming units/ml in a clean voided midstream urine specimen. RESULTS: The cumulative rate of first recurrence of urinary tract infection during the 12 month follow up differed significantly between the groups (P=0.048). At six months, eight (16%) women in the cranberry group, 19 (39%) in the lactobacillus group, and 18 (36%) in the control group had had at least one recurrence. This is a 20% reduction in absolute risk in the cranberry group compared with the control group (95% confidence interval 3% to 36%, P=0.023, number needed to treat=5, 95% confidence interval 3 to 34). CONCLUSION: Regular drinking of cranberry juice but not lactobacillus seems to reduce the recurrence of urinary tract infection. ... Up to 60% of women have a urinary tract infection at some point in their life. Sexual activity is the most important risk factor for urinary tract infection. At least a third of women with urinary tract infection will experience a recurrence during the following year, with recurrence being most common in the age groups 25-9 and over 55 years. The bacteria causing urinary tract infection arise from the stools. Dietary changes can alter the balance of faecal bacteria. Vaccinium berries and products containing lactobacilli have been shown to act against the coliform bacteria that cause most urinary tract infections. Cranberry juice prevents bacteriuria in elderly women, and locally administered lactobacilli prevent recurrences of urinary tract infections. ... In the United States, over 11 million women each year receive antimicrobials for urinary tract infection, costing over $1.6bn (£1100m). Antimicrobial treatment and prophylaxis has resulted in increasing resistance to antimicrobials among uropathogenic bacteria. Cranberry juice provides an alternative tool for prevention of urinary tract infection that could result in decreased use of antimicrobials. ... Action of cranberry juice: The berries of Vaccinium species such as cranberries and blueberries contain condensed tannins called proanthocyanidins. These can prevent the expression of the P fimbriae of E coli. Proanthocyanidins are stable phenolic compounds that are widely distributed in nature, and some of them possess antiviral, antibacterial, antiadhesive, or antioxidant properties. By inhibiting bacterial cell wall synthesis and cellular expression of adhesion molecules they inhibit bacterial adhesion to cellular surfaces. Tannin profiles differ between berries, and proanthocyanidin molecules of cranberry extracts consist mainly of epicatechin. The commercial product used here consisted mostly of cranberries (V oxycoccos) but also lingonberries (V vitis-idaea), which to our knowledge have not been analysed for proanthocyanidin concentrations. E coli is the most common uropathogenic bacterium, and its P fimbriae are thought to be the most important virulence factor in causing urinary tract infection. The blocking of fimbrial adhesion by cranberry juice prevents E coli and other gram negative bacteria from colonising the uroepithelial cells. The juice may help to prevent urinary tract infection either by selecting less adhesive bacterial strains in the stool or by directly preventing E coli from adhering to uroepithelial cells, or by both of these mechanisms. Our finding of no increase in recurrences after stopping cranberry prophylaxis supports the theory of bacterial selection in the stool."

Inhibition of bacterial adherence by cranberry juice: potential use for
the treatment of urinary tract infections

Sobota, A. E., "Inhibition of bacterial adherence by cranberry juice:
potential use for the treatment of urinary tract infections", Journal
of Urology, May 1, 1984, Vol. 131, Num. 0, pp. 1013-1016

"Abstract: Cranberry juice has been widely used for the treatment and
prevention of urinary tract infections and is reputed to give
symptomatic relief from these infections. Attempts to account for the
potential benefit derived from the juice have focused on urine
acidification and bacteriostasis. In this investigation it is
demonstrated that cranberry juice is a potent inhibitor of bacterial
adherence. A total of 77 clinical isolates of Escherichia coli were
tested. Cranberry juice inhibited adherence by 75 per cent or more in
over 60 per cent of the clinical isolates. Cranberry cocktail was also
given to mice in the place of their normal water supply for a period of
14 days. Urine collected from these mice inhibited adherence of E. coli
to uroepithelial cells by approximately 80 per cent. Antiadherence
activity could also be detected in human urine. Fifteen of 22 subjects
showed significant antiadherence activity in the urine 1 to 3 hours
after drinking 15 ounces of cranberry cocktail. It is concluded that
the reported benefits derived from the use of cranberry juice may be
related to its ability to inhibit bacterial adherence. ... Cranberry
juice. Three preparations of cranberry juice were used in this study:
1) cranberry cocktail, 2) cranberry concentrate and 3) freshly prepared
juice. The freshly prepared juice was obtained by crushing the berries
in a blender followed by centrifugation at 10,000 g for 30 minutes to
express the juice. For the adherence assay, the juice was either used
full strength or diluted with glass distilled water. ... The degree of
inhibition ranged from greater than 97 per cent in undiluted juice to
approximately 30 per cent at a dilution of 1:100 for both kinds of
cells. All 3 preparations of cranberry juice significantly inhibited
adherence up to dilutions of 1:100. ... it was demonstrated that pure
cranberry juice, either as a commercial concentrate or freshly
prepared, is a strong inhibitor of bacterial adherence. Experiments
designed to determine the concentration of juice necessary for
inhibition produced the most striking results. At dilutions up to 1:100
a significant inhibition of adherence was observed and in the undiluted
form inhibition in excess of 97 per cent was observed."
cathyb - 31 Oct 2006 15:21 GMT
> > Is there any alternative to antibiotics that can cure a UTI I have yet
> > to find anything other than antibiotics that work.
[quoted text clipped - 100 lines]
> a significant inhibition of adherence was observed and in the undiluted
> form inhibition in excess of 97 per cent was observed."

Most doctors will prescribe cranberry juice and plenty of water for
UTIs; in my experience they also prescribe them as a prophylactic
measure for people prone to UTIs..

However these infections can be dangerous, particularly if they are
recurrent, and sometimes antibiotics are the best and safest answer.
See your doctor; they may advise simple washing out with water and
cranberry juice; if it's more serious, they may not.
Richard - 31 Oct 2006 15:30 GMT
> However these infections can be dangerous, particularly if they are
> recurrent, and sometimes antibiotics are the best and safest answer.

Why can these infections be dangerous if they are recurrent?
D. C. Sessions - 31 Oct 2006 16:19 GMT
>> However these infections can be dangerous, particularly if they are
>> recurrent, and sometimes antibiotics are the best and safest answer.
>
> Why can these infections be dangerous if they are recurrent?

Scarring, for one.  Persistent inflammation of the urinary
tract can result in scar tissue which at best reduces elasticity
and at worst can cause blockages.  Lower UTIs can progress up
to kidney infections, which (besides being no fun at all) can
result in permanent kidney damage.

A high rate of urinary flow at all times (Army research
suggests an optimum of something like two liters a day) helps
prevent UTIs and renal calculus -- always the best solution.
If a lower UTI gets going, pushing fluids helps prevent the
infection from working its way up to the kidneys along with
the other benefits of dilution.

Pyridium is, as always, good for symptomatic relief and seems
to speed healing despite having no antibacterial effect itself.

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regalred1@gmail.com - 31 Oct 2006 16:36 GMT
Richard,
Recurrent UTI's aren't dangerous.  Men and women have had them ever
since Adam and Eve.  Here is a website that will help you understand
UTI's and at the bottom is a link for Naturopathic Treatment that is
VERY helpful... http://www.urologychannel.com/uti/index.shtml

My advice is to go to the health food store, GNC, or Wal-Mart and buy a
bottle of cranberry.  It has no sugar... just full strength cranberry.
I take a cranberry cap every night before bed and it keeps me from
having any urological issues.  Now, that's not to say another UTI won't
happen.  I don't know your situation... if you are getting them or your
wife/girlfriend.  If it is you, it could be as simple as your not
drinking enough water and that you need cranberry caps and water to
help with your UTI's.  If it's a wife/girlfriend, there are tips on the
link above that will help her with the prevention of UTI's.

Good luck to you, Richard.  I know how uncomfortable those infections
can be.

> > However these infections can be dangerous, particularly if they are
> > recurrent, and sometimes antibiotics are the best and safest answer.Why can these infections be dangerous if they are recurrent?
Roman Bystrianyk - 31 Oct 2006 22:08 GMT
> > However these infections can be dangerous, particularly if they are
> > recurrent, and sometimes antibiotics are the best and safest answer.
>
> Why can these infections be dangerous if they are recurrent?

Be careful as antibiotics have their own set of risks.

Good day.
Roman

Linda A. Johnson, "Common antibiotic can raise cardiac risk, study
says", Toronto Star, September 9, 2004,
Link:
http://www.thestar.com/NASApp/cs/ContentServer?pagename=thestar/Layout/Article_T
ype1&c=Article&cid=1


A widely used antibiotic long considered safe dramatically increases
the risk of cardiac arrest, particularly when taken with some popular
drugs for infections and high blood pressure, a study found.

The drug is erythromycin, on the market for 50 years and prescribed for
everything from strep throat to syphilis. The new study shows the need
for continuing research on the safety of older medicines, including how
they interact with newer drugs, said researcher Wayne A. Ray, a
professor of preventive medicine at Vanderbilt University School of
Medicine in Nashville.

Taken alone, erythromycin doubled the very low risk of sudden cardiac
death among patients in the study. In patients taking other drugs that
increase erythromycin's concentration in the blood, the risk of cardiac
death was more than five times greater. That translates to six deaths
for every 10,000 people taking erythromycin for the typical two-week
treatment while on the other drugs.

"This is an unacceptably high risk," Ray said.

The study, in today's New England Journal of Medicine, said the danger
seems to come from other drugs slowing the breakdown of erythromycin,
which increases its concentration. At high levels it traps salt inside
resting heart muscle cells, prolonging the time until the next
heartbeat starts, and sometimes triggering an abnormal, potentially
fatal rhythm.

The findings show doctors should choose an alternative antibiotic, Ray
said, at least when prescribing the drugs that interact. Amoxicillin,
another popular antibiotic, showed no cardiac risk.

In the study, funded by U.S. federal agencies and the drug company
Janssen Pharmaceutica, researchers looked at 1,476 cardiac arrest
deaths and studied each patient's medicine use. Only a small numberhad
taken both erythromycin and any of the antibiotics or heart drugs
carrying a risk. Still, three of them died. Statistically, it was
extremely unlikely those deaths were due to chance, according to Ray
and other experts.

The deaths were in patients taking blood pressure drugs verapamil (sold
as Verelan and Isoptin) or diltiazem (sold as Cardizem and Tiazac).

Several other drugs were cited as potential risks.

"Heavy antibiotic use may raise lymphoma risk", ABC News, November 19,
2005,
Link: http://abcnews.go.com/Health/wireStory?id=1329863

Using antibiotics more than 10 times in childhood increases the
likelihood of developing non-Hodgkin's lymphoma (NHL), a cancer that
affects the body's lymphatic system, new research suggests.

Dr. Ellen T. Chang of the Northern California Cancer Centre in Fremont
and her colleagues also found a marginally increased NHL risk among
heavy users of non-steroidal anti-inflammatory drugs (NSAIDs), such as
ibuprofen (Motrin, Advil), but no association between the disease and
any other types of medication.

Given the rising incidence of NHL, Chang and her team note in the
American Journal of Epidemiology, a number of studies have investigated
whether certain medications increase the risk of the disease. But
results have been inconclusive, with only strong immunosuppressive
drugs consistently being tied to NHL. Because a number of medical
conditions also may be associated with NHL, they add, the question of
whether the drug or the underlying condition is involved has
complicated matters further.

To investigate, the researchers looked at data from the Scandinavian
Lymphoma Etiology study, which included 3,055 patients with NHL who
were compared with 3187 healthy subjects drawn from Danish and Swedish
population registers.

The "striking" association between antibiotic use and NHL was seen for
all subtypes of the disease. High NSAID use increased overall risk of
NHL and of diffuse large B-cell NHL, but did not increase the
likelihood of any other type of NHL.

The increasing use of antibiotics in the 20th century could explain the
rise in NHL cases, if the drugs are in fact responsible for the
association observed, Chang and her colleagues note. However, they add,
their study was unable to determine if antibiotics and NSAIDs affected
risk apart from the underlying inflammation, infections or
susceptibility to infection.

"Biologic data more strongly support the hypothesis that antibiotic use
is an indicator of infection and consequent inflammation, which may
increase the risk of NHL, and that high cumulative NSAID use is a
marker of chronic inflammation," they conclude.

SOURCE: American Journal of Epidemiology, November 15, 2005.
Vernon - 31 Oct 2006 14:46 GMT
> Is there any alternative to antibiotics that can cure a UTI I have yet
> to find anything other than antibiotics that work.

As stated in another post, cranberry juice concentration works most of the
time as it cleanses.

I have seen zero cases that are not zapped with oil of oregano, 5 drops, 3
times a day for about a week, maybe two.
Oil of oregano kills the infection without upsetting other flora in the
body.

Cranberry juice is still good to "flush" the system.
 
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