ENGLISH CONTENT

What is UTI?

Urinary tract infection is a condition where one or more parts of the urinary system (the kidneys,
ureters, bladder, and urethra) become infected.

Causes

• The most common uropathogen in the pregnant patient is E coli. This organism is isolated in 80-
85% of cultures.
• Other pathogens include the following:

• Klebsiella pneumoniae (5%)

• Proteus mirabilis (5%)
• Enterobacter species (3%)
• S saprophyticus (2%)
• Group B beta-hemolytic Streptococcus (1%)

• Infections result from ascending colonization of the urinary tract. The primary source of
organisms is existing vaginal, perineal, and fecal flora.
• Sexual intercourse and multiple sexual partners
• Prolonged hours of urine in the urinary bladder

Predisposing factors

• Being female. Half of all women will develop a urinary tract infection at some point during their
lives, and many will experience more than one. A key reason is their anatomy. Women have a
shorter urethra, which cuts down on the distance bacteria must travel to reach the bladder.
• Being sexually active. Women who are sexually active tend to have more urinary tract
infections. Sexual intercourse can irritate the urethra, allowing germs to more easily travel
through the urethra into the bladder.
• Using certain types of birth control. Women who use diaphragms for birth control also may be
at higher risk, as are women who use spermicidal agents.
• Aging. After menopause, urinary tract infections may become more common because tissues of
the vagina, urethra and the base of the bladder become thinner and more fragile due to loss of
estrogen.
• Kidney stones or any other urinary obstruction.
• Diabetes and other chronic illnesses that may impair the immune system.
• Prolonged use of tubes (catheters) in the bladder.

Signs and Symptoms

• a stinging or burning sensation when you pass urine

• the need to pass urine more often
• feeling you want to urinate urgently, even if you pass very little or no urine
• cloudy or dark coloured urine
• blood in your urine
• pain or tenderness in your lower back or lower abdomen (tummy)
• feeling generally unwell

Complications

• If left untreated, may lead to acute or chronic kidney infections (pyelonephritis), which could
permanently damage your kidneys.
• Scarring in the kidneys, this over time can lead to renal hypertension and eventual kidney failure.
• Preterm labor
Therapeutic management

• Avoid coffee, alcohol, and spicy foods, all of which irritate the bladder.
• Quit smoking. Smoking irritates the bladder and is known to cause bladder cancer.
• Women and girls should wipe from front to back (not back to front) after going to the bathroom.
This helps prevent bacteria from the anus entering the urethra.
• Empty your bladder regularly and completely, especially after sexual intercourse.
• Drink plenty of fluids. Cranberry juice, especially, has been shown to help prevent urinary tract
infections. There is evidence that cranberries reduce the risk of the bacteria's adhesion to bladder
cells
• Avoid tight-fitting pants.
• Wear cotton-crotch underwear and panty hose, changing both at least once a day. (Mild detergents
are best for washing underwear.)
• Take showers rather than baths.
• Avoid bath oils, feminine hygiene sprays, douches, and powders. As a general rule, do not use any
product containing perfumes or other possible allergens near the genital area. Douching is never
recommended as it may irritate the vagina and urethra and increase the risk of sexually transmitted
diseases.
• Choose sanitary napkins instead of tampons (which some doctors believe encourage infection).
Napkins and tampons, in any case, should be changed after each urination.
 TAGALOG CONTENT

ANO ANG UTI?Maraming kababaihan ang may UTI o Urinary Tract Infection. Ang impeksyon ay
nanggagaling sa ating pantog (bladder) at daanan ng ihi (urethra).

Ang pangkaraniwang dahilan ng UTI ay ang mga ito:

(1) kulang ang iniinom na tubig,

(2) mali ang paghuhugas sa puwerta (vagina), at
(3) laging nagpipigil ng ihi.

Sintomas ng UTI:
• pananakit sa bandang pantog, lalo na sa dulo ng pag-ihi.
• Parang mahapdi ang pakiramdam kapag lumalabas ang ihi.
• madilaw at may amoy din ang ihi.
• Madalas na pagiihi
• Nilalagnat
• Pananakit ng likod

Ano ang gamutan sa UTI?

1. Uminom ng antibiotic ng 3 araw. Ang pinakamura ay ang Amoxicillin 500 mg na tableta 3 beses sa
maghapon. Inumin ito ng 3 araw hanggang mawala ang UTI. Kapag hindi gumaling sa Amoxicillin,
puwede tayong sumubok ng mas mahal na gamot tulad ng Ciprofloxacin 500 mg na tableta, 2 beses
maghapon.

2. Uminom ng 8 hanggang 12 basong tubig sa isang araw. Kailangan mong uminom nang maraming tubig
para mabawasan ang bacteria sa ihi.

Paano iiwas sa UTI?

1. Tulad ng nabanggit, uminom ng 8 hanggang 12 basong tubig sa maghapon. Ugaliing uminom

ng 1 o 2 basong tubig bago kumain. Mabubusog ka at papayat ka pa.

2. Huwag pigilin ang iyong ihi. Pumunta sa banyo palagi.

3. Pagkatapos umihi, maghugas ng puwerta.

4. Pagkatapos dumumi, dapat din turuan ang mga babae na magpunas ng tissue pataas sa puwit.
Huwag magpunas ng dumi paharap at baka pumunta ang dumi sa puwerta ng babae. Ito ang
isang dahilan ng UTI.

5. Pagkatapos mag-sex, piliting umihi ng isang beses. Huwag muna matutulog at baka umakyat
ang impeksyon sa iyong pantog. Ang tawag ng doktor dito ay Ho*neymoon Cystitis.

6. Walang masama sa pag-inom ng buko juice o Cranberry juice. Baka makatulong din ito sa
UTI.

Simple lang ang pag-iwas sa UTI,

(1) uminom nang maraming tubig, at

(2) maging malinis sa pag-ihi, pagdumi at sa buong katawan.
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