Aunt Li is a patient in my bed. She has been troubled with a question recently: "Don't we say that urinary tract infection is a very common problem? Why can't mine be cured?"
Aunt Li has repeatedly had frequent urination and urgent urination . When I went to the hospital for urine test routine, I considered urinary tract infection . Treatment is definitely anti-infective treatment, , but out of the understanding of "the three parts poisonous" of medicine, Aunt Li usually stops the medicine by herself if the symptoms improve. months ago, Aunt Li went to the hospital for treatment again due to urinary tract infection. The result was and the symptoms of antibiotic did not improve after 20 days. The doctor suggested that she check what was the cause, but Aunt Li refused directly.
She thought to herself, isn’t it just a urinary tract infection? She can’t even treat such a simple disease, so what else can I check for?
weeks ago, Aunt Li's symptoms worsened again, so she came to us for treatment. With the risk of being complained without antibiotics, we gave her a urine culture first, and the result was shocking! The results of culture suggest that the bacteria that causes urinary tract infection are Escherichia coli , and it is a multi-drug-resistant. After drug-sensitive culture, only 5 antibiotics are effective against it, and the other 13 antibiotics are all resistant! Compared with the antibiotics used in triplicate in the outer hospital before, they are basically within the drug resistance range, so it would be strange if you can use it effectively!
How common are urinary tract infections?
Urinary tract infection as the name suggests is an infection in the urinary tract. What is more common in our clinical practice are lower urinary tract infections. The clinical symptoms of this infection are mainly manifested as frequent urination, urgency, and pain in urine. Some patients will suffer from supra pubic discomfort and lumbosacral pain in . Urinary tract infections can be said to be one of the most common infectious diseases, especially in female patients. According to statistics, women are 60% likely to suffer from urinary tract infection in their lifetime.
Is there any risk of stopping the medication if the symptoms improve?
Many patients have this experience, is to improve the symptoms of urinary tract infection to a certain extent after taking one medication . Although the doctor prescribed the dose for 3 to 5 days, often stop taking the medication by yourself when the symptoms improve.
But the purpose of treatment of urinary tract infection is to eliminate pathogenic bacteria, relieve symptoms, and prevent the spread of renal function damage and infection . Before relieving the symptoms, there is another very important saying: "eliminate pathogens"! Symptoms improve after the application of antibiotics do not mean that the pathogen has been eliminated.
According to the recommendations in the 2019 edition of the "Guidelines for Diagnosis and Treatment of Urology and Men's Diseases", some patients can use short-range antibacterial drug therapy, which is generally a 5-day course of . This course of treatment can reduce the chance of recurrence of urinary tract infection. For patients with repeated urinary tract infections, low-dose, long-term antibacterial treatment is recommended, and the treatment cycle of continues until 1 to 2 weeks after the acute attack. Why does
cause bacterial resistance?
Like Aunt Li, who has bacterial resistance, may face patients who are about to have no medicine available. is often a patient with repeated urinary tract infections but insufficient medication treatment. frequently use antibiotics every time and cannot eliminate bacteria, so is prone to bacterial resistance . Drug resistance means that the bacteria have become resistant to this antibiotic, and no matter how much you take or hang up water, it cannot be eliminated. targets bacteria that are resistant to drugs at the same time in clinical use of three or more antibacterial drugs, and are collectively called multidrug-resistant bacteria . The treatment of multidrug-resistant bacteria will be very troublesome because there are really not many weapons left to the doctor.
Summary: Urinary tract infection is very common in clinical practice, and many people even "having become doctors for a long time" and have their own treatment ideas. Often, the patient will stop taking the medication after seeing the symptoms of medication improvement, and will come again within two days. This situation will cause the pathogen to fail to be eliminated, and repeated medications will also lead to drug resistance in bacteria, which will make subsequent treatment more difficult. Therefore, for urinary tract infection, the use of medication for foot therapy is often very important. Never stop the medication by yourself if the symptoms improve!
I am Dr. Shao Yunpeng. I know about medical knowledge every day. If the article is useful to you or the people around you, thank you for your likes, follow and forwarding. Thank you! #Health Science Popularization Competition# #Extraordinary Cases#
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