Thu May 17 21:41:06 SGT 2012  
SHIM CLINIC
STD CLINIC SINGAPORE™
168 Bedok South Avenue 3 #01-473
Singapore 460168
Tel: (+65) 6100 7446
Fax: (+65) 6449 7446
24hr Answering Tel: (+65) 6333 5550
Web: www.ShimClinic.com 		Opening Hours
Monday to Friday: 9 am to 3 pm, 7 pm to 11 pm
Saturday & Sunday: 7 pm to 11 pm
Public Holidays: Closed
Last registration: half hour before closing time.
Walk-in clinic. Appointments not required.
Bring NRIC, Work Pass or Passport for registration.
If for STD testing, hold urine 4 hours before arriving.

UTI | Shim Clinic, STD CLINIC SINGAPORE™
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Summary

UTI | Shim Clinic, STD CLINIC SINGAPORE™: symptoms in men/women, screening/diagnosis, testing/check, treatment clinic, Singapore. Private and confidential service. Definitions, references, and latest news.

Description

Table of Contents

Urinary tract infection (UTI) is an infection that affects any part of the urinary tract.
  • In men, it is rare. But when it happens in sexually active men, it is frequently caused by STD.
  • In women, it is frequently caused by Escherichia coli originating from the anus.
Urinary tract anatomical parts, when infected, results in corresponding inflammatory conditions: Male reproductive tract anatomical parts, when infected, results in corresponding inflammatory conditions: Balanitis is inflammation of the glans penis.

Urethritis is inflammation of the urethra. The most common symptom is dysuria (painful urination), followed by urethral discharge / genital discharge. For treatment purposes, it is classified in two categories:

In the UK, Non-specific urethritis (NSU) may be used to mean that either gonorrhoea alone, or both gonorrhoea and chlamydia has been ruled out.

Prostatitis is inflammation of the prostate.

Lower UTI symptoms are

UTI treatment is usually with antibiotics like trimethoprim/sulfamethoxazole

References

Latest News

Lactobacilli versus antibiotics to prevent recurrent UTIs in postmenopausal women
Tue, 15 May 2012 04:00:00 +0100 | NeLM - News
Source: Arch Internal Med Area: News According to the results of a study published in the Archives of Internal Medicine, lactobacilli appears to be inferior to antibiotics for the prevention of recurrent urinary tract infections (UTIs), but is not associated with an increase in antibiotic resistance.   The authors note that alternative non-antibiotic methods of preventing recurrent UTIs are necessary, as there is an increasing prevalence of antibiotic resistance among uropathogens.  Use of lactobacilli appears to be promising and the purpose of this double-blind non-inferiority study was to compare prophylaxis with lactobacilli (L rhamnosus GR-1and L reuteri RC-14) and trimethoprim-sulfamethoxazole in postmenopausal women with recurrent UTIs.   A total of 252 women ...

Lactobacillus Prophylaxis Less Helpful Than Antibiotics for UTILactobacillus Prophylaxis Less Helpful Than Antibiotics for UTI
Mon, 14 May 2012 17:24:02 +0100 | Medscape Urology Headlines
Women with recurrent urinary tract infections had a lower risk for recurrence when treated with prophylactic antibiotics than with prophylactic lactobacillus, but antibiotic resistance is a concern. Medscape Medical News (Source: Medscape Urology Headlines)

Prevalence of infections in long-term care facilities: how to read it?
Fri, 11 May 2012 06:03:43 +0100 | Infection
Conclusions  The prevalence of infections in LTCFs needs to be interpreted cautiously, given the effects of seasonality and case-mix variation. Repeated prevalence surveys may be a good start in individual facilities, but the identification of outbreaks requires a continuous surveillance system. Content Type Journal ArticleCategory Original PaperPages 1-8DOI 10.1007/s15010-012-0266-1Authors M. Marchi, Area Rischio Infettivo, Agenzia Sanitaria e Sociale Regione Emilia-Romagna, Bologna, ItalyE. Grilli, Area Rischio Infettivo, Agenzia Sanitaria e Sociale Regione Emilia-Romagna, Bologna, ItalyM. Mongardi, Area Rischio Infettivo, Agenzia Sanitaria e Sociale Regione Emilia-Romagna, Bologna, ItalyC. Bedosti, Unità Operativa Lungodegenza post-acuti, Azienda Usl di Imola, Im...

Occurrence and characteristics of extended-spectrum-{beta}-lactamase- and AmpC-producing clinical isolates derived from companion animals and horses
Fri, 11 May 2012 04:00:00 +0100 | Journal of Antimicrobial Chemotherapy
Conclusions This is the first study among a large collection of Dutch companion animals and horses characterizing ESBL/AmpC-producing isolates. A similarity in resistance genes and E. coli STs among these isolates and isolates from Dutch poultry and humans may suggest exchange of resistance between different reservoirs. (Source: Journal of Antimicrobial Chemotherapy)

Sensitivities of major causative organisms isolated from patients with acute uncomplicated cystitis against various antibacterial agents: results of subanalysis based on the presence of menopause
Thu, 10 May 2012 05:57:07 +0100 | Journal of Infection and Chemotherapy
Abstract  We investigated whether the presence of menopause influenced the species and distribution of causative bacteria isolated from patients with acute uncomplicated cystitis (the most common urinary tract infection), and we also investigated the sensitivity of the isolated species to antibacterial agents. Using multivariate analysis, we also investigated risk factors for infection with quinolone-resistant Escherichia coli, because its frequency has increased and it is now a clinical problem in Japan. Six hundred and thirty-four strains were isolated from 489 premenopausal patients (mean age 32.3 ± 10.1 years). Major causative bacteria detected were Escherichia coli (65.0 %), Enterococcus faecalis (12.0 %), Streptococcus agalactiae (5.5 %), and K...

Relationship between the Presence of the nalC Mutation and Multidrug Resistance in Pseudomonas aeruginosa
Mon, 07 May 2012 14:44:48 +0100 | Advances in Pharmacological Sciences
Conclusion. Our results showed that the presence of nalC was observed among P. aeruginosa resistance to oxacilin. Thus, the finding suggested relationship between oxacilin resistance and presence of nalC and consequently overproduction of the MexABOprM efflux system. (Source: Advances in Pharmacological Sciences)

Germs Behind Urinary Tract Infections Becoming More Resistant to Drugs
Mon, 07 May 2012 07:00:00 +0100 | MedicineNet Womens Health General
Title: Germs Behind Urinary Tract Infections Becoming More Resistant to DrugsCategory: Health NewsCreated: 5/4/2012 4:05:00 PMLast Editorial Review: 5/7/2012 12:00:00 AM (Source: MedicineNet Womens Health General)

Etiologic profile and antimicrobial susceptibility of community-acquired urinary tract infection in two Cameroonian towns
Mon, 07 May 2012 04:00:00 +0100 | BMC Research Notes
Conclusion: Regional variation in etiology of CAUTI and antibiotic susceptibility observed in our study emphasizes the need to establish local and national antimicrobial resistance monitoring systems in Cameroon to provide information for the development of CAUTI treatment guidelines. (Source: BMC Research Notes)

Role of C-Reactive Protein Velocity in the Diagnosis of Early Bacterial Infections in Children After Cardiac Surgery
Fri, 04 May 2012 04:00:00 +0100 | Journal of Intensive Care Medicine
Received November 20, 2009, Received Revised August 18, 2010, Submitted August 19, 2010 Fever after cardiac surgery in children may be due to bacterial infection or noninfectious origin like systemic inflammatory response syndrome (SIRS) secondary to bypass procedure. A marker to distinguish bacterial from nonbacterial fever in these conditions is clinically important. The purpose of our study was to evaluate, in the early postcardiac surgery period, whether serial measurement of C-reactive protein (CRP) and its change over time (CRP velocity) can assist in detecting bacterial infection. A series of consecutive children who underwent cardiac surgery with bypass were tested for serum levels of CRP at several points up to 5 days postoperatively and during febrile episodes (>38.0°C). F...


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