Author/Editor     Lindič, Jelka
Title     Liječenje infekcije mokraćnih organa odraslih
Translated title     Treatment of urinary tract infections in adults
Type     članek
Source     Krka Med Farm Srpskohrvatsko izd
Vol. and No.     Letnik 21, št. 31
Publication year     2000
Volume     str. 5-35
Language     cro
Abstract     Urinary tract infections most commonly afflict women of all age groups, older men, patients with kidney transplant and patients with functional or structural urinary tract abnormalities. They result from the ascending spread o f infection causing organisms that most frequently originate from the gastrointestinal tract. Most uncomplicated urinary tract infections are caused by E. coli, while complicated infections arise from other species of enterobacteria. The choice of drug and duration of treatment depend on the type and severity of the infection and the patient's age and sex. The drugs of choice include trimethoprim with or without sulfamethoxazole and fluoroquinolones. Of the beta-lactam antibiotics, amoxicillin/clavulanic acid is only indicated in the treatment of enterococcal infections. Penicillins and cephalosporins are the drugs of choice for the treatment of urinary tract infections occurring during pregnancy. In recurrent urinary tract infections, frequently seen in women, the physician may consider prophylactic treatment consisting of continuous low-dose prophylaxis or post-coital prophylaxis. In elderly patients, urinary tract infections may present with atypical signs and symptoms. In the outpatient management of these patients, diagnosis is facilitated by the use of special clinical criteria for the diagnosis of urinary tract infections. A decision of crucial importance in the management of patients with urinary tract infectionsos is when to treat the patient in a general/family physician's office and when to refer him or her to a specialist (nephrologist, urologist, gynecologist) or to hospital.
Descriptors     URINARY TRACT INFECTIONS
ADULT
CYSTITIS
PYELONEPHRITIS
PROSTATITIS
BACTERIURIA
URETHRITIS
PYURIA
RECURRENCE
HEMATURIA
ANTIBIOTICS