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Urinary tract infection  Health Article

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Table of Contents
Reviewer Info: Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.; ADAM Health Illustrated Encyclopedia, 07/23/2007
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Expectations (prognosis)

Cystitis is uncomfortable, but usually responds well to treatment.

Complications

  • Chronic or recurrent urinary tract infection -- defined as at least two infections in 6 months or at least three in 1 year
  • Complicated UTI
  • Kidney infection

Calling your health care provider

Call your doctor if you, or your child, have symptoms of a UTI. Call right away if there is fever or chills, back or side pain, or vomiting. These symptoms suggest a possible kidney infection.

Also call if:

  • You have diabetes or are pregnant
  • There is discharge from the penis or vagina
  • The penis or vagina is painful, or sexual intercourse is painful
  • You suspect a child may have been sexually abused
  • There is blood or pus in the urine
  • The symptoms come back a short time after treatment with antibiotics

Prevention

  • Do NOT douche or use similar feminine hygiene products.
  • Do NOT drink fluids that irritate the bladder, like alcohol and caffeine.
  • Drink cranberry juice or use cranberry tablets, but NOT if you have a personal or family history of kidney stones.
  • Drink plenty of fluids.
  • Keep your genital area clean.
  • Urinate after sexual intercourse.
  • Wear cloth undergarments.
  • Wipe from front to back.

Use of low-dose antibiotics on a daily basis may be recommended to prevent UTIs if you get frequent infections.

References

Cincinnati Children's Hospital Medical Center. Evidence-based care guideline for medical management of first urinary tract infection in children 12 years of age or less. Cincinnati (OH): Cincinnati Children's Hospital Medical Center; 2006 Nov. 23 p.

Walsh, PC, ed. Campbell’s Urology. 8th ed. Philadelphia, Pa: Saunders; 2002.

Marx JA, Hockberger RS, Walls RM, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 5th ed. St. Louis, Mo: Mosby; 2002.

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