Urinary tract infections in adults
Singapore medical journal
;
: 485-490, 2016.
Article
in English
| WPRIM
| ID: wpr-304128
ABSTRACT
A urinary tract infection (UTI) is a collective term for infections that involve any part of the urinary tract. It is one of the most common infections in local primary care. The incidence of UTIs in adult males aged under 50 years is low, with adult women being 30 times more likely than men to develop a UTI. Appropriate classification of UTI into simple or complicated forms guides its management and the ORENUC classification can be used. Diagnosis of a UTI is based on a focused history, with appropriate investigations depending on individual risk factors. Simple uncomplicated cystitis responds very well to oral antibiotics, but complicated UTIs may require early imaging, and referral to the emergency department or hospitalisation to prevent urosepsis may be warranted. Escherichia coli remains the predominant uropathogen in acute community-acquired uncomplicated UTIs and amoxicillin-clavulanate is useful as a first-line antibiotic. Family physicians are capable of managing most UTIs if guided by appropriate history, investigations and appropriate antibiotics to achieve good outcomes and minimise antibiotic resistance.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Primary Health Care
/
Urinary Tract Infections
/
Drug Resistance, Microbial
/
Epidemiology
/
Incidence
/
Risk Factors
/
Clavulanic Acid
/
Amoxicillin-Potassium Clavulanate Combination
/
Cystitis
/
Drug Therapy
Type of study:
Etiology study
/
Incidence study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Singapore medical journal
Year:
2016
Type:
Article
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