Urine Infection (cont.)
Infections in pregnancy
A pregnant woman who develops a UTI should be treated promptly to avoid
premature delivery of her baby and other risks such as high blood pressure.
Some antibiotics are not safe to take during pregnancy. In selecting the
best treatments, doctors consider various factors such as the drug's
effectiveness, the stage of pregnancy, the mother's health, and potential
effects on the fetus.
Complicated infections
Curing infections that stem from a urinary obstruction or other systemic
disorders depends on finding and correcting the underlying problem,
sometimes with surgery. If the root cause goes untreated, this group of
patients is at risk of kidney damage. Also, such infections tend to arise
from a wider range of bacteria, and sometimes from more than one type of
bacteria at a time.
Infections in men
UTIs in men are often a result of an obstruction -- for example, a urinary
stone or enlarged prostate -- or from a medical procedure involving a catheter.
The first step is to identify the infecting organism and the drugs to which
it is sensitive. Usually, doctors recommend lengthier therapy in men than in
women, in part to prevent infections of the prostate gland.
Prostate infections (chronic bacterial prostatitis) are harder to cure
because antibiotics are unable to penetrate infected prostate tissue
effectively. For this reason, men with prostatitis often need long-term
treatment with a carefully selected antibiotic. UTIs in older men are frequently
associated with acute bacterial prostatitis, which can have serious consequences
if not treated urgently.
Next: Is there a vaccine to prevent recurrent UTIs? »
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