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UTI

A urinary tract infection (UTI) is an infection of the urinary system, usually bacterial. UTIs are classified as cystitis (bladder) or pyelonephritis (kidneys); asymptomatic bacteriuria is bacteria in the urine without symptoms.

UTIs are more common in women. Risk factors include sexual activity, catheter use, diabetes, pregnancy, urinary

Most UTIs arise from gut bacteria that ascend the urethra. Escherichia coli accounts for the majority of

Symptoms depend on location. Cystitis typically causes dysuria, frequent or urgent urination, suprapubic discomfort, and sometimes

Diagnosis combines symptoms with urine testing. Urinalysis can show white blood cells and nitrites; urine culture

Treatment is usually with antibiotics. Uncomplicated cystitis often uses short courses (3 to 7 days); choices

Prevention emphasizes hydration, urinating after intercourse, and avoiding irritants. Postmenopausal women may benefit from vaginal estrogen;

tract
abnormalities,
and
retention.
community
cases;
other
pathogens
include
Staphylococcus
saprophyticus,
Proteus,
Klebsiella,
and
Enterococcus.
blood
in
the
urine.
Pyelonephritis
may
present
with
fever,
flank
pain,
and
nausea.
helps
identify
the
organism,
especially
in
complicated
or
persistent
infections.
Imaging
is
reserved
for
suspected
obstruction
or
stones.
include
nitrofurantoin,
trimethoprim-sulfamethoxazole,
or
fosfomycin,
depending
on
local
resistance.
Complicated
UTIs
or
pyelonephritis
require
longer
therapy.
recurrent
UTIs
may
be
treated
with
preventive
antibiotics
or
other
strategies
in
selected
cases.