Intervention Reduces Urinary Tract Infection Risk in Kids

Intervention Reduces Urinary Tract Infection Risk in Kids

Quality-improvement initiative reduces catheter-associated urinary tract infection rates in children.

Reasons for Alpha Blocker Switch ID'd

Reasons for Alpha Blocker Switch ID'd

Lack of efficacy is the main reason for the switch.

Post-Transplant UTI Prophylaxis Protocol Addresses Sulfa Allergy

Post-Transplant UTI Prophylaxis Protocol Addresses Sulfa Allergy

Using cephalexin instead of trimethoprim-sulfamethoxazole may decrease UTI incidence and cost of care.

VUR Antimicrobial Prophylaxis Beneficial

Antimicrobial prophylaxis for children with VUR after a febrile UT) decreases risk.

Ultrasound for Genitourinary Problems in Kids Falls Short

Ultrasound for Genitourinary Problems in Kids Falls Short

It is poor at detecting vesicoureteral reflux in children who have had a febrile urinary tract infection.

Antibiotics Best, But Not Only Way to Treat Recurrent UTIs

Antibiotics Best, But Not Only Way to Treat Recurrent UTIs

Cranberry pills, estrogen therapy, and acupuncture also show benefit, according to a systematic literature review.

Bladder Instillation of Heparin May Prevent UTIs

Bladder Instillation of Heparin May Prevent UTIs

Pilot study demonstrates positive results in women suffering recurrent urinary tract infections.

Non-Antibiotic Prophylaxis Beneficial in Recurrent UTI

Non-Antibiotic Prophylaxis Beneficial in Recurrent UTI

Meta-analysis includes oral immunostimulant OM-89, estrogens, cranberries, acupuncture.

TRT Doesn't Worsen Urinary Tract Symptoms

TRT Doesn't Worsen Urinary Tract Symptoms

About 30 percent of men experience an AUA symptoms index improvement of 3 or more points.

Acute Cystitis Rarely Caused by Enterococci, Streptococci

Acute Cystitis Rarely Caused by Enterococci, Streptococci

Though found in midstream voided urine in younger women, typically not detected in catheter urine.

A Hematuria Risk Index: Interview with Ronald Loo, MD

A Hematuria Risk Index: Interview with Ronald Loo, MD

Urologist Ronald K. Loo, MD, of Southern California Permanente Medical Group and colleagues created and validated a Hematuria Risk Index.

Lower-Dose Oxychlorosene Better for UTIs

It is just as effective as higher-dose oxychlorosene but causes fewer adverse effects, according to study findings.

Non-UTI Problems Common with Urethral Catheters

Leakage/incontinence topped the list at 11%, according to a study.

UTI Risk Unaffected by Catheter Type

Total weeks of self-reported UTI in children with spina bifida were similar with hydrophilic single-use and multi-use PVC catheters.

ATP Nixed for Assessing Urinary Infection

Study results underscore the need for additional research to find other surrogate markers of urinary infection.

Circumcision Prevents UTIs Long-Term

The protection offered by circumcision against UTIs in infancy has been well documented and emphasized in the most recent recommendations.

OAB: Current and Emerging Therapies for Optimal Individualized Treatment

Keeping abreast of the most current treatments for idiopathic OAB can lead to improved outcomes and quality of life.

Antibiotics Lower UTI Risk in Catheterized Patients

Antibiotics Lower UTI Risk in Catheterized Patients

A new meta-analysis has found that giving antibiotics to catheterized patients may reduce the risk of a urinary tract infection by nearly 6%.

In-Hospital Complications After Cystectomy Common

Risk of post-operative problems is linked to urinary diversion type.

Urinary Tract Infections More Common in Diabetics

In a study, 9.4% of patients with type 2 diabetes had a UTI compared with only 5.7% of nondiabetics.

Estrogen Beneficial for Treatment of UTI

Estrogen Beneficial for Treatment of UTI

Estrogen induces an antimicrobial response and strengthens urinary tract tissue.

Coffee May Raise Risk of Lower Urinary Tract Symptoms

Orange or grapefruit juice consumption may be protective in men, study finds.

One-Third of Female UTI Patients Willing to Delay Treatment

One-Third of Female UTI Patients Willing to Delay Treatment

In majority of women willing to delay antibiotics, symptoms spontaneously resolve within one week.

Female Pediatric UTI Visits Up in Emergency Departments

From 2006-2009, the number of visits rose by an estimated 3.46% annually.

Voiding Parameters Remain Stable in Elderly Men

If patients are not bothered by symptoms, they do not necessarily require treatment, Australian researcher says.

Interventional Radiologists in Nephrology and Urology

More and more, these specialists are performing urologic procedures and collaborating with nephrologists.

Study Reveals Benefits of Drug for Overactive Bladder

Study Reveals Benefits of Drug for Overactive Bladder

A new trial has found that mirabegronreduced the frequency of incontinence episodes and number of daily urinations in adults with overactive bladder.

Evidence Discredits Aggressive UTI Testing in Young Children

Evidence Discredits Aggressive UTI Testing in Young Children

Lack of evidence for link between early ID of UTI, prevention of long-term renal complications.

Differences in Care for E-Visits, Office Visits for Sinusitis, UTI

Differences in Care for E-Visits, Office Visits for Sinusitis, UTI

Follow-up similar with both visits; more antibiotics prescribed, less preventive care with e-visits.

'Smart Catheter' Could Help Fight Urinary Tract Infections

'Smart Catheter' Could Help Fight Urinary Tract Infections

A new "smart catheter" is being developed to combat catheter-related urinary tract infections.

Longer Rx Does Not Reduce Male UTI Recurrence Risk

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.

Study: Cranberry Juice Does Not to Prevent UTIs

Cranberry juice is less effective than previously indicated.

UTI Reports to CDC May Be Misleading

Discrepancies found in competing definitions of catheter-related urinary tract infections

Catheter-Related UTIs Not More Frequent in the ICU

Catheter-associated urinary tract infections (CAUTIs) occur at similar rates in the intensive care unit (ICU) and in non-ICU settings.

Tailored UTI Prevention Strategies Proposed

Options include lactobacilli and cranberry preparations.

Cranberries May Prevent UTIs Only in Some Populations

Cranberries May Prevent UTIs Only in Some Populations

Use of cranberry-containing products appears to be associated with prevention of urinary tract infections (UTIs).

UTI Risk Higher Among Uncircumcised Boys

UTI Risk Higher Among Uncircumcised Boys

Uncircumcised boys may be at higher risk for urinary tract infections (UTIs), regardless of whether the urethra is visible.

Antibiotics for Outpatient UTIs May Need to Change

Antibiotics for Outpatient UTIs May Need to Change

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 a Poor Indicator of Urinary Tract Cancer

Microscopic hematuria is an unreliable indicator of urinary tract malignancy, according to study findings presented at the American Urological Association 2012 annual meeting.

Urinary E. coli Resistance to Ciprofloxacin, TMP/SMX Growing

Urinary E. coli Resistance to Ciprofloxacin, TMP/SMX Growing

Study reveals large increase in resistance to ciprofloxacin and TMP-SMX from 2000 to 2010.

Part I: Assessment and Diagnostic Strategies for Neurogenic Bladder

Part I: Assessment and Diagnostic Strategies for Neurogenic Bladder

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.

Enterococcal UTIs May Signal Underlying Urinary Problems in Children

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.

Repeat UTIs May Not Raise Kids' CKD Risk

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.

New Guidelines for Pediatric UTIs

New Guidelines for Pediatric UTIs

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.

Hyaluronic Acid May Prevent Recurrent UTIs

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.

Antibiotics Outperform Cranberry Extract for UTIs

Antibiotics Outperform Cranberry Extract for UTIs

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.

Drug Shows Promise for Severe Sepsis Due to UTIs and Other Causes

Drug Shows Promise for Severe Sepsis Due to UTIs and Other Causes

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.

Children with UTIs May Be Receiving Inappropriate Antibiotics

Children with UTIs May Be Receiving Inappropriate Antibiotics

A new study suggests that many children with urinary tract infections in the United States may be receiving inappropriate antibiotics.

Ofloxacin May Prevent UTIs in Renal Graft Recipients

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.

Cranberry Juice Does Not Prevent Repeat UTIs

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.

Shift in Nosocomial UTI Pathogens Identified

Shift in Nosocomial UTI Pathogens Identified

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.

Post-Transplant UTI Not Linked to Ureteral Stents

Post-Transplant UTI Not Linked to Ureteral Stents

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).

UTI Risk in Spinal Injury Reduced by New Catheter

Hydrophilic-coated catheter shorted time to first UTI in patients with acute spinal cord injuries.

Men at Higher Risk for AUR After BoNTA Treatment

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).

Ureteral Stents Not Linked to Post-Transplant UTI

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).

Unnecessary Urine Cultures Ordered

Half are inappropriate for hospitalized patients with indwelling urinary catheters, study finds.

Recurrent UTIs After Renal Transplants

Recurrent UTIs After Renal Transplants

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.

Older Drugs May Be Okay For VRE UTIs

BOSTON—Clinicians may want to rethink the antibiotics they prescribe for vancomycin-resistant Enterococcus (VRE) urinary tract infections (UTIs).

Renal Impairment Linked to E. coli Infection

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.

UTI Pathogens Differ in Renal Transplant Patients

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.

Stick with Quinolones for Prostate Biopsies

Using penicillin instead may result in a higher risk of sepsis, according to British researchers.

Intraurethral Catheters Recommended

They cause fewer UTIs than indwelling catheters in men at high risk during anesthesia and surgery.

Oral Drug Is An Appropriate Option for Resistant UTIs

Oral Drug Is An Appropriate Option for Resistant UTIs

In a study, only 3% of ESBL-producing Escherhicia coli isolates were resistant to fosfomycin.

Antibiotic UTI Prophylaxis Slightly Better

Antibiotic UTI Prophylaxis Slightly Better

It is associated with fewer recurrences than lactobacilli, but it increases antibiotic resistance.

Bacteria Interference May Prevent Urinary Tract Infections

Bacteria Interference May Prevent Urinary Tract Infections

A non-pathogenic strain of E. coli lowered the UTI rate in catheterized men with neurogenic bladder.

First UTIs in Women Characterized

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.

Obesity Raises UTI Risk

CHICAGO—Obesity increases the likelihood of urinary tract infections (UTIs), according to researchers. The risk is particularly elevated among severely obese individuals.

Risk Factors for Post-TURP Urinary Tract Infections Identified

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 vs. Antibiotic for UTI Prevention

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).

Post-Tranplant UTI Pathogens Shift Over Time

Post-Tranplant UTI Pathogens Shift Over Time

Researchers who studied symptomatic UTIs in renal transplant recipients found that Enterococcus species are the most common causative pathogens within the first six months.

Catheter-Associated UTIs Raise Death Risk

WASHINGTON, D.C.—Catheter-associated UTIs (CA-UTIs) significantly increase patients' risk of death, researchers have found.

No. 1 Post-Transplant Infection: UTIs

No. 1 Post-Transplant Infection: UTIs

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.

Urine Test Screens for Cephalosporin Susceptibility

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, UTIs Not Linked in Nursing Home Residents

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).

Managing UTIs in Debilitated Patients

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.

Monitoring Local E. coli Resistance Patterns

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.

Unusual Urinary Pathogen Characterized

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.

Enterococcal UTIs May Be Overtreated

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.

Another Option for Uncomplicated Cystitis

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.

Recurrent UTI, Diabetes Link

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.

A Short-Course Therapy of Complicated UTI, Pyelonephritis Cleared

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).

Empiric UTI Therapy Switch Suggested

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: Ominous Urinary Marker

Proteus bacteriuria may be a marker for poor urinary health in spinal-cord injury (SCI) patients.

Guidelines Urged for UTIs in the ICU

Guidelines Urged for UTIs in the ICU

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.

Urinary Schistosomiasis May Increase

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.

Genitourinary TB An Emerging Threat

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.

Enterococcal UTIs Become Predominant

TORONTO—Enterococcus has emerged as the predominant pathogen associated with symptomatic UTIs in the first six months after renal transplantation, data show.

E. coli Colonization Patterns Emerge

E. coli Colonization Patterns Emerge

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.

Pyuria Poor Sign of UTI in Stone Cases

TORONTO—Pyuria may not be an accurate indicator of UTI in patients presenting with acute urolithiasis, California researchers report.

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