Urinary Tract,Uti,Infection Urinary Tract - Guidelines For The Prevention Of Urinary Tract Infection UTI
2012-02-07
Guidelines For The Prevention Of Urinary Tract Infection UTI
From the foregoing information on UTI, one should realize that the best course is to follow, strictly, the preventive measures, which are very simple, mostly relating to routine hygiene, rather than being on long-term prophylactic antibiotks; or, in neglected cases, developing terminal kidney disease, i.e. kidney failure, which may, require repeated dialysis, or even kidney transplant, depending on the case.
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Various guidelines are mentioned below, and all individuals, irrespective of age and sex, are required to carefully follow them in their everyday life.
(i) Perineal hygiene
The perineum is the area where the openings of the anus, the urethra and the vagina are situated (of course, the scrotum and the penis in the male). It is the most dangerous area, especially in females, as all the three openings are lying close together (Fig. 21), and there is always a threat of infection to the urinary tract from anal-faecal organisms, which invade the urinary tract through the urethral opening. Hence if proper hygiene is maintained after each defecation, the infection from the anus to the urethra can be stopped/prevented since UTI is caused mostly by E. coli organisms present in the faeces. Of course, the various predisposing/associated factors responsible for UTI, if present, have to be simultaneously investigated and treated.
A simple cleansing with water, and preferably with soap and water after passing stools, and urine in the case of females, is strongly recommended at all ages, more so in children, girls, both married and unmarried women. However, those using toilet-paper, after passing stools, should be more careful, and see that the area has been thoroughly cleaned, especially in the case of females. Hence, it is of the utmost importance to always keep the perineal area clean, and thus it has been rightly said that 'cleanliness is next to godliness.'
(ii) Passing of ur'ine after sexual intercourse (postcoital voiding) Since during sexual activity, the organisms may gain entry through the urethral opening into the urinary bladder, it is advisable for all women to pass urine after each sexual intercourse, so that the bacteria, in case they have entered the urinary bladder, are washed out. It is safer if urine is also passed before sexual intercourse.
Further, women who are more prone to UTI, or get recurrences of UTI as a result of intercourse, are advised to take a single dose of prophylactic broad-spectrum antibiotic like norfloxacin, ciprofloxacin, lomefloxacin or ofloxacin, etc., after sexual intercourse/ coitus. This is an important step in the prevention of UTI in such patients, and has shown promising results. .
The above step for the prevention of UTI is very important and calls for an urgent need to impart sex education at the appropria te age. Physicians / obstetricians / gynaecologists / paediatricians can also guide their patients as and when an opportunity arises. Mothers can also advise their children in this matter.
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(iii) Passing of urine frequently
All persons, and especially those who are more prone to UTI, should pass urine frequently, say every 3-4 hours, so that the urinary bladder is constantly washed out, and the bacteria, if any, are pushed out in the urine. If the bladder is not evacuated frequently, the bacteria will get more time to increase in number in the urine collected in the urinary bladder. Hence, frequent urination is an esseI)tial step towards the prevention of UTI, which should be observed by everyone.
In any case, urination should not be postponed, as this will increase the rise of UTI.
(iv) Passing of urine at bedtime
Similarly, urine must be passed at bedtime, so that the minimum quantity of urine remains in the urinary bladder during the night. Since the duration of the night is long, there should be as little urine as possible in the bladder, and one should pass urine even during the night, if he or she happens to wake up.
(v) Plenty of fluids
It is obvious that the intake of plenty of fluids is required, so that there is frequent urination, and the bladder is constantly kept clean. At least about three litres of water/fluids must be taken daily to achieve the desired results.
Ideally, the habit of frequent urination or bladder training, including cleanliness, should be instilled right from childhood, especially in the case of female children. Above all, once the subject is made clear to the sufferers/others, it becomes routine.
(vi) Immediate treatment of predisposing factors
As soon as some predisposing/ obstructive lesions happen to occur, e.g. urinary stones, benign enlargement of prostate, etc., immediate attention should be paid, and surgery, if required, should not be delayed, so that UTI does not develop at all, and there is absolute prevention.
(vii) Control of high blood pressure and diabetes
Control of high blood pressure and diabetes is an essential requirement to prevent the kidneys from contracting an infection, since a damaged kidney, as a result of high blood pressure and/or high blood sugar, is always prone to get infection. The infection in such kidneys can only be avoided/ prevented if it is protected from damage by these diseases. That is, a strict control of both high blood pressure and diabetes is required. This aspect has also been emphasized earlier.
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Our Readers' Questions and Answers:
Help! My 8 yr old daughter starting having pain in her private area, syptoms of a uti, any home remedies?
isac c asked on Sun, 30 Nov, 2008
Does anyone know a home remedy for uti syptom like pain in an 8 year old girl? My daughter has them frequently and we have tried everything, any suggestions?
Anya. replied on Sun, 30 Nov, 2008
Take her to the doctor! They can get very, very serious.
wittyteacup says Peace!! replied on Sun, 30 Nov, 2008
She needs to see the Dr, ASAP. In the meantime give her cranberry juice and water to drink. They help flush out the Urinary Tract.
Lauren replied on Sun, 30 Nov, 2008
I had these when I was her age, the doctors said I had a short urethra and that I would grow out of it. I had them frequently for a while (again, around 8), and then I just stopped having them and haven't had one since my urethra "growing" (or whatever the problem was). The only thing you can really do is take her to the doctors for antibiotics, since those are the only things that actually treat the infection. It won't get better on its own, and cranberry juice does not help during the course of an infection (as any doc will tell you).
the "private area" has a name, it is a body part it is called the VAGINA, it's not a dirty word. (Makes me wonder what you would call an arm or a leg). It could be a uti, could be a yeast infection (yes even virgins get them) could be her underwear is too small. It could be anything. You might want to take her to the doctor and find out what it is...and if it is another uti you might ask the doctor what is causing her to have so many of them.
echo lily replied on Sun, 30 Nov, 2008
Drink a lot of fluids to flush out the bacteria in the body(water and cranberry juice) . Also a warm heating pad on the lower stomach could help.
infamousshadow2004 replied on Sun, 30 Nov, 2008
Home Remidies for a UTI? Are you NUTS? She needs to be seen by a doctor, a urinalysis done and a course of anti biotics started right away. It wont go away any other way. And if left alone, will only get worse.. GET HER TO A DOC
Edit: Cranberry Juice will help, but only along with an antibiotic
yvonnechoi12 replied on Sun, 30 Nov, 2008
The answer is, you should check with your doctor. There are medications, even over the counter pills, but you really shouldn't give anything to a child without checking with your doctor first.
Also, I'm assuming you're getting antibiotics every time she has a UTI because they can be deadly and it's the only way to treat them.
La Fée Verte replied on Sun, 30 Nov, 2008
Doctor, Cranberry Juice, and Blueberries!
Sydney L replied on Sun, 30 Nov, 2008
She sould still go the doc., but I here that cranberry juice is suppsoe to help.
Em replied on Sun, 30 Nov, 2008
If she gets them a lot she will need to be looked at, but I'm guessing thats in hand.
In the meantime do you have a health food shop or Neals Yard nearby? If you ask their advice, or by a herbal infusion called 'marshmallow tea' it can help. (not the sweeties marshmallow!)
Other than that lots of cranberry juice or blueberry juice (they help stop the bacteria from holding onto the cell walls)
EDIT - DO NOT use warm pad or hot water bottle in case this is a grumbling appendix pain!
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If you have a bladder infection and turmeric has been recommended by someone, the reason is due to the natural anti-bacterial activity of curcumin, a compound found in the plant's rhizomes.?? If you have frequent infections of this type, there are several things that you can do to help reduce the frequency.?? First, you probably need to drink more plain water.
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