Conditions InDepth: Urinary Tract Infection (UTI)

by ]]>Rosalyn Carson-DeWitt, MD]]>

The urinary tract refers to the connected system of organs through which urine flows on its way out of the body. This includes the two kidneys, the two ureters (tubes that connect the kidneys to the bladder), the bladder, and the urethra (the tube from the bladder through which urine leaves the body). A urinary tract infection can affect any or all of these structures, although a ]]>kidney infection]]> (pyelonephritis) is generally discussed as a separate condition.

The Urinary Tract

A urinary tract infection usually occurs when bacteria on the skin or in the genital or rectal area enter the urinary tract via the urethra. If conditions are right, these bacteria can multiply within the urethra and bladder, causing infection. Sometimes infections begin during a medical procedure that requires placement of a catheter, a thin flexible tube that is inserted through the urethra and into the bladder, to drain urine. Organisms can “climb” up the catheter into the bladder, resulting in a urinary tract infection. Sexual intercourse is another common trigger of urinary tract infections.

Many different kinds of bacteria can cause urinary tract infections, including:

Escherichia coli
Staphylococcus saprophyticus
Enterococci
Pseudomonas aeruginosa

On rare occasions, fungi may cause urinary tract infections.

Twenty percent of all women will have a UTI at some point in their lives. Men, throughout most of their adult lives, have a very low rate of urinary tract infections. Over the age of 50, however, their rate of infection reaches approximately that of women because prostate enlargement predisposes men to infection. This is due to incomplete emptying of the bladder that results in urine sitting in the bladder and bacteria growing. Researchers estimate that about 8 to 10 million visits to the doctor each year are for diagnosis and treatment of urinary tract infections.

]]>What are the risk factors for a urinary tract infection?]]>
]]>What are the symptoms of a urinary tract infection?]]>
]]>How is a urinary tract infection diagnosed?]]>
]]>What are the treatments for a urinary tract infection?]]>
]]>Are there screening tests for a urinary tract infection?]]>
]]>How can I reduce my risk of getting a urinary tract infection?]]>
]]>What questions should I ask my doctor?]]>
]]>What is it like to live with chronic urinary tract infections?]]>
]]>Where can I get more information about urinary tract infections?]]>

References:

American Foundation for Urologic Disease website. Available at: http://www.auafoundation.org/auafhome.asp .

Griffith’s 5-Minute Clinical Consult. 2001 ed. Lippincott Williams & Wilkins; 2001.

National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://www2.niddk.nih.gov/ .

Last reviewed August 2008 by ]]>Jill D. Landis, MD]]>

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.