Physicians recognize the need for standards and process improvement in medicine. Case in point: Urinary Tract Infections.
Children with horsehoe kidney might be examined for additional urologic and nonurologic abnormalities, researchers suggest.
They are more likely to have urinary tract infections and sepsis than urinary stone formers without inflammatory bowel disease.
Researchers devised a scoring system to predict this complication after minor thoracic surgery
Combo Zerbaxa is sanctioned for complicated intra-abdominal and urinary tract infections
Members of the clinical team should keep reevaluating the need for urinary catheter use in hospitalized patients
Younger age, preterm birth among clinical factors that predict a longer length of stay (LOS) for infants hospitalized with an urinary tract infection (UTI).
Quality-improvement initiative reduces catheter-associated urinary tract infection rates in children.
Lack of efficacy is the main reason for the switch.
Using cephalexin instead of trimethoprim-sulfamethoxazole may decrease UTI incidence and cost of care.
Antimicrobial prophylaxis for children with VUR after a febrile UT) decreases risk.
It is poor at detecting vesicoureteral reflux in children who have had a febrile urinary tract infection.
Cranberry pills, estrogen therapy, and acupuncture also show benefit, according to a systematic literature review.
Pilot study demonstrates positive results in women suffering recurrent urinary tract infections.
Meta-analysis includes oral immunostimulant OM-89, estrogens, cranberries, acupuncture.
About 30 percent of men experience an AUA symptoms index improvement of 3 or more points.
Though found in midstream voided urine in younger women, typically not detected in catheter urine.
Urologist Ronald K. Loo, MD, of Southern California Permanente Medical Group and colleagues created and validated a Hematuria Risk Index.
It is just as effective as higher-dose oxychlorosene but causes fewer adverse effects, according to study findings.
Leakage/incontinence topped the list at 11%, according to a study.
Total weeks of self-reported UTI in children with spina bifida were similar with hydrophilic single-use and multi-use PVC catheters.
Study results underscore the need for additional research to find other surrogate markers of urinary infection.
The protection offered by circumcision against UTIs in infancy has been well documented and emphasized in the most recent recommendations.
Keeping abreast of the most current treatments for idiopathic OAB can lead to improved outcomes and quality of life.
A new meta-analysis has found that giving antibiotics to catheterized patients may reduce the risk of a urinary tract infection by nearly 6%.
Risk of post-operative problems is linked to urinary diversion type.
In a study, 9.4% of patients with type 2 diabetes had a UTI compared with only 5.7% of nondiabetics.
Estrogen induces an antimicrobial response and strengthens urinary tract tissue.
Orange or grapefruit juice consumption may be protective in men, study finds.
In majority of women willing to delay antibiotics, symptoms spontaneously resolve within one week.
From 2006-2009, the number of visits rose by an estimated 3.46% annually.
If patients are not bothered by symptoms, they do not necessarily require treatment, Australian researcher says.
More and more, these specialists are performing urologic procedures and collaborating with nephrologists.
A new trial has found that mirabegronreduced the frequency of incontinence episodes and number of daily urinations in adults with overactive bladder.
Lack of evidence for link between early ID of UTI, prevention of long-term renal complications.
Follow-up similar with both visits; more antibiotics prescribed, less preventive care with e-visits.
A new "smart catheter" is being developed to combat catheter-related urinary tract infections.
Longer-duration antibiotic treatment for urinary tract infections (UTIs) in men does not decrease their risk of early or late recurrence.
In most cases of uncomplicated UTI in adult males, what duration of antibiotic treatment do you usually prescribe?
A recent study demonstrated that antibiotic treatment for more than seven days is no better than a shorter course of treatment at preventing early or late recurrence of UTIs.
Cranberry juice is less effective than previously indicated.
Discrepancies found in competing definitions of catheter-related urinary tract infections
Catheter-associated urinary tract infections (CAUTIs) occur at similar rates in the intensive care unit (ICU) and in non-ICU settings.
Options include lactobacilli and cranberry preparations.
Use of cranberry-containing products appears to be associated with prevention of urinary tract infections (UTIs).
Uncircumcised boys may be at higher risk for urinary tract infections (UTIs), regardless of whether the urethra is visible.
A new study is suggesting that ciprofloxacin and trimethoprim/sulfamethoxazole are no longer appropriate choices for urinary tract infection (UTI) found in outpatients.
Microscopic hematuria is an unreliable indicator of urinary tract malignancy, according to study findings presented at the American Urological Association 2012 annual meeting.
Study reveals large increase in resistance to ciprofloxacin and TMP-SMX from 2000 to 2010.
Diagnostics and treatment options for NGB are continually advancing, and clinicians need to remain up-to-date to accurately assess and optimally manage patients
Based on your own experience, do you think higher temperatures increase the risk of urinary tract problems?
A recently published study found that increasing mean temperature was associated with urinary disorders.
Community-acquired urinary tract infections (UTIs) in children caused by enterococcal bacteria are associated with a high rate of underlying urinary abnormalities, a study found.
Although urinary tract infections (UTIs) in childhood are considered a risk factor for chronic kidney disease (CKD), a literature search revealed that in the absence of structural kidney abnormalities evident in imaging studies after the first UTI, the etiologic fraction of recurrent childhood UTIs as a main cause of CKD appears small, investigators reported in Pediatrics.
Updated guidelines have changed recommendations for how initial urinary tract infections in children aged 2-24 months. John Schieszer has the latest on the story in today's Medical Minute.
GLASGOW—Intravesical instillation of hyaluronic acid may be a safe and effective way to reduce the likelihood of recurrent urinary tract infections (UTIs) in fertile women, Italian investigators reported at the International Continence Society annual meeting.
Trimethoprim-sulfamethoxazole (TMP-SMX) is more effective than cranberry extract in preventing recurrent urinary tract infections (rUTI), data from a double-blind noninferiority trial indicate, but antimicrobial resistance remains a major concern.
AMSTERDAM—Oral immunotherapy with talactoferrin alfa appears to decrease the risk of dying in patients treated for severe sepsis resulting from a urinary tract infection (UTI) and other causes, researchers announced at the 14th World Conference on Lung Cancer.
A new study suggests that many children with urinary tract infections in the United States may be receiving inappropriate antibiotics.
Prophylactic antibiotic with ofloxacin (OFLO) may significantly decrease the one-year incidence of urinary tract infections (UTIs) and acute pyelonephritis (APN) in renal transplant recipients, according to French researchers.
A placebo beverage fared better than cranberry juice in protecting against repeat urinary tract infections (UTIs) in 319 female college students presenting with acute UTI.
Enterococcus and Candida are the most frequent pathogens isolated in bloodstream infections (BSI) caused by nosocomial urinary tract infections (UTIs), according to University of Michigan researchers.
Ureteral stents are not associated with an increased risk of urinary tract infection (UTI) following renal transplantation, according to new findings presented at the 48th Annual Meeting of the Infectious Diseases Society of America (IDSA).
Hydrophilic-coated catheter shorted time to first UTI in patients with acute spinal cord injuries.
Researchers in Taiwan have identified risk factors for adverse events (AEs) from intravesical injections of botulinum toxin A (BoNTA) for refractory idiopathic detrusor overactivity (IDO).
VANCOUVER, British Columbia—Ureteral stents are not associated with an increased risk of urinary tract infection (UTI) following renal transplantation, according to new findings presented at the 48th Annual Meeting of the Infectious Diseases Society of America (IDSA).
Half are inappropriate for hospitalized patients with indwelling urinary catheters, study finds.
BOSTON—Older age, female gender, and delayed graft function are among the independent risk factors for recurrent urinary tract infections (UTIs) among renal transplant recipients.
BOSTON—Clinicians may want to rethink the antibiotics they prescribe for vancomycin-resistant Enterococcus (VRE) urinary tract infections (UTIs).
MONTREAL—A decade after contracting acute diarrheal illness from infection with Escherichia coli 0157:H7, individuals are at increased risk for definite renal impairment with microalbuminuria, hypertension, and cardiovascular events compared with individuals not infected with the pathogen.
MUNICH, GERMANY—Urinary tract infections (UTIs) caused by non-coliform bacteria are significantly more common among renal transplant patients compared with the general population, according to a British study.
Using penicillin instead may result in a higher risk of sepsis, according to British researchers.
They cause fewer UTIs than indwelling catheters in men at high risk during anesthesia and surgery.
In a study, only 3% of ESBL-producing Escherhicia coli isolates were resistant to fosfomycin.
It is associated with fewer recurrences than lactobacilli, but it increases antibiotic resistance.
A non-pathogenic strain of E. coli lowered the UTI rate in catheterized men with neurogenic bladder.
CHICAGO—Urinary frequency and urgency are the two predominant presenting urinary symptoms in young women with their first UTI, according to a new prospective study of college-aged women.
CHICAGO—Obesity increases the likelihood of urinary tract infections (UTIs), according to researchers. The risk is particularly elevated among severely obese individuals.
Patients who have urinary catheters in place upon hospital admission for transurethral resection of the prostate (TURP) are at increased risk of post-operative urinary tract infections (UTIs), investigators reported at the 24th Annual European Association of Urology Congress in Stockholm.
Cranberry extract may be a suitable alternative to antibiotics for preventing recurrent UTIs in older women, British researchers concluded in The Journal of Antimicrobial Chemotherapy (2008; published online ahead of print).
Researchers who studied symptomatic UTIs in renal transplant recipients found that Enterococcus species are the most common causative pathogens within the first six months.
WASHINGTON, D.C.—Catheter-associated UTIs (CA-UTIs) significantly increase patients' risk of death, researchers have found.
WASHINGTON, D.C.—UTIs continue to be the most common infections following kidney transplantation, with female gender and duration of urinary catheterization among the strongest risk factors.
The absence of urinary nitrites predicts potential resistance of pediatric UTIs to cephalosporins, according to investigators at the Children's Hospital of Western Ontario, London, Ont., Canada.
Residual urine in nursing home residents is not associated with UTIs, Norwegian researchers reported in the Journal of the American Geriatrics Society (2008;56:871-874).
Infections are a serious complication and leading cause of death in debilitated patients, including those with cancer, immunosuppression (e.g., transplantation or AIDS patients), diabetes, chronic renal failure, severe neurologic conditions such as Parkinsonism or spinal cord injury, and the elderly.
SAN DIEGO—The empiric use of trimethoprim-sulfamethoxazole (SXT) to treat uncomplicated UTIs may be contributing to increased SXT resistance and multidrug resistance in the United States.
SAN DIEGO—According to researchers, urine cultures yielding vancomycin-resistant, ampicillin-sensitive Enterococcus faecalis (VRASEF) may not always represent a true UTI, and the proper treatment is not well characterized.
SAN DIEGO—Significant numbers of men with enterococcal UTIs are being overtreated and undertreated, according to findings reported here at the Infectious Diseases Society of America annual meeting.
Five-day courses of nitrofurantoin are equivalent clinically and microbiologically to a three-day course of trimethoprim-sulfamethoxazole for treating acute uncomplicated cystitis in women, researchers say.
CHICAGO—Diabetes increases the likelihood of UTI recurrences in pre- and post-menopausal women, despite longer treatments with more potent initial antibiotics, a Dutch study shows.
The FDA has approved the use of a five-day, once-daily regimen of Levaquin (levofloxacin) 750 mg IV and oral for the treatment of complicated UTI and acute pyelonephritis (AP).
CHICAGO—An international survey of uropathogens isolated from women with uncomplicated UTIs suggests that physicians may need to rethink the antibiotics they use for empiric treatment.
Proteus bacteriuria may be a marker for poor urinary health in spinal-cord injury (SCI) patients.
TORONTO—Guidelines are needed for managing positive urine cultures in the ICU because clinicians often prescribe antibiotics inappropriately, researchers reported here at the annual meeting of the Infectious Diseases Society of America.
SAN FRANCISCO—Urinary schistosomiasis is a common infection in sub-Saharan Africa and the Mideast, and more cases could surface in the United States because of greater international travel and immigration from those regions, according to an infectious disease specialist.
SAN FRANCISCO—Genitourinary tuberculosis (GUTB) cases are on the rise in the United States and globally, but they often are difficult to diagnose, leading to a delay in dialysis that can worsen renal damage, according to a Turkish researcher.
TORONTO—Enterococcus has emerged as the predominant pathogen associated with symptomatic UTIs in the first six months after renal transplantation, data show.
TORONTO—By examining temporal patterns of Escherichia coli colonization of the periurethra and urine, it may soon be possible to intervene and prevent recurrent UTIs in an unprecedented way.
TORONTO—Pyuria may not be an accurate indicator of UTI in patients presenting with acute urolithiasis, California researchers report.
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NEPHROLOGY & UROLOGY NEWS
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