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Medical Forum / Diseases and Disorders / Prostatitis / April 2004UTI acquisition
This is something i found on the web...thought it would be interesting to some of you. "Bacterial organisms from the skin and stool are usually the contaminants," he said. "One of the more common is the E. coli bacteria." *********E-COLI is detectable***************** Anyone can get urinary tract infection, including children and men, but it is more common in women because of the shorter urethra. In children it is common when they are potty training, Eggli said. Toilet seats are relatively germ-free, according to a study done by Dr. Charles Gerba at the University of Arizona. The average toilet seat has about 49 microbes per square inch, compared with a keyboard, which can contain up to 25,127 microbes per square inch. ********THERE ARE A LOT OF MICROBES AROUND WE DO NOT KNOW OF, WE ARE INFESTED WITH THEM, SO I DOUBT THEY ARE CAUSING THE PROSTATITIS*********** However, Robertson advises caution when dealing with dirty toilet seats. "Studies, the few that have been done, have said that it doesn't matter; they say that when you sit on bacteria you mostly squish them," she said. "It's a gray area, though, because there are always exceptions where people can put their hand in a wrong place that researchers didn't anticipate." Urine is sterile when it first comes out of the body, but it once it comes in contact with air and other objects in the environment, bacteria can grow on it, Robertson said. Urinary tract infection may also be caused by anatomical abnormalities in the connection between the bladder and ureters, tubes that connect the kidneys and bladder, Eggli said. Urine may reflux and go back into the kidneys. Ignoring the urge to urinate has nothing to do with reflux and the development of urinary tract infection. ********THIS IS IN ACCORDANCE WITH WEBMASTERS THOUGHTS*************** "Nothing bad really happens, but your bladder capacity may increase," he said. Many people can have urinary tract infection without knowing it, because sometimes it is a "completely silent" disease, Eggli said. If symptoms do arise, they can include pain and burning during urination, frequent urges to go, a fever, abdominal pain and cloudy, foul-smelling urine. Just some thoughts. We will present on the next American Urological Association Annual meeting, following paper. Best regards Long Lasting Therapy For Recurrent Urinary Tract Infections In Women Federico Guercini*, Cinzia Pajoncini, Rome, Italy; Elisabetta Costantini, Massimo Porena, Perugia, Italy Introduction and Objective: Recurrent urinary tract infections (UTI) in women cost the health services in Europe and the USA billions of dollars annually. E. Coli, which causes 70-89% of these infections, has been observed in vitro and in vivo as capable of developing the so-called bacterial biofilms within the bladder, thus reducing the efficacy of any antibiotic treatment. At present, as only long, repeated cycles of therapy overcome this mucopolysaccaride barrier, we administered antibiotics to maintain the urine germ-free for at least six months. Methods: 42 female outpatients were recruited to the study. All had recurrent UTI due exclusively to E.Coli as diagnosed by urine cultures, vaginal swab, and PCR-DNA amplification of the vaginal swab and cervical smears for Chlamydia, Ghonococcus, Mycoplasma and Ureaplasma. After giving informed consent patients were randomly divided into two groups. For the first 10 days both groups were treated with Ciprofloxacin (500 mg twice daily), vaginal suppository of doderlain bacteria (one daily), Rifaximin (100 mg twice daily), and oral lactic zymes. For the following six months the 21 patients in group A were administered Ciprofloxacin (250 mg daily) on alternative days and instructed to take a pill containing 250mg Ciprofloxacin one hour before if any intercourse. The 21 patients in group B took placebo, administered with the same modality. Throughout the 6 month study all patients had to practice safe sex. After the initial screening all patients underwent urine culture with antibiogram and colony count every 15 days for the first 6 months and then every 30 days in the 6-month follow-up. The Chi square test was used for data analysis. Results: Group A(16-51 yrs, mean age 38yrs) : Urine remained germ-free during the six months therapy in all 21 patients and during the 6 months of follow-up in 17 (81%).In this period only one patient presented two symptomatic infectious episodes. Group B(19-48 yrs, mean age 35yrs) : Asymptomatic bacteriuria was already present in 15/21(71%) at 15 days after the first cycle of therapy. 16/21 ( 76%) presented with infectious episodes, sometimes recurrent, in the first 6 months of the study (p<.001) and 19/21 (90%) presented with recurrent UTI throughout the 12 months of the study (p<.001), even though each episode was treated with the initial antibiotic therapy. Conclusions: This treatment schedule is associated with few minor side effects and efficaciously eradicates UTI due to E. Coli > This is something i found on the web...thought it would be interesting > to some of you. [quoted text clipped - 49 lines] > > Just some thoughts. |
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