Description

• Urinary tract infections (UTIs) are infections of the urinary tract system (bladder, urethra, kidneys) that are generally caused by bacteria, especially E. coli. UTIs are the most common bacterial infections
• UTI can vary from asymptomatic colonisation, through self limiting, unpleasant lower tract infection to life threatening sepsis. Women are at high risk of contracting UTIs due to a shorter urethra and the proximity of the anal and genital regions
• Clinical findings depend on which part of the urinary tract is affected. Lower UTIs manifest with dysuria, supra pubic pain, urinary urgency, and increased urinary frequency, whereas upper UTIs additionally manifest with fever and flank pain.

Types

Symptoms indicative of Lower UTI are:

• Dysuria
• Frequency
• Suprapubic tenderness
• Urgency
• Polyuria
• Haematuria

Upper urinary tract infection

• Symptoms of lower urinary tract infection
• Fever
• Flank pain
• Fatigue/malaise
• Nausea and vomiting

Investigation

Urine analysis: Clean-catch midstream sample

• Pyuria: ≥ 5–10 WBC/hpf
• Bacteriuria: abnormal number of bacteria present in urine sample (≥ 106 organisms/ml)
• Positive nitrites
• Positive urease
• Hematuria and mild proteinuria

Urine culture

CT scan without contrast

• recurrent UTIs, complicated UTIs, and in patients who do not respond to treatment

Ultrasound

• To assess urinary obstruction

Treatments

Internal medicines

• Nirgundyadi kashaya
• Bruhatyadi kashaya
• Guduchyadi kashaya
• Saptasara kashaya
• Gokshuradi guggulu
• Chandraprabha vati
• Vilwadi gutika
• Vettumaran gutika
• Gokshura panaka
• Chandanasava
• Punarnavasava

Department

Kayachikitsa