Education & Debate
نویسنده
چکیده
Although most urinary tract infections in adults are uncomplicated and respond rapidly to empirical antimicrobial therapy, they represent a considerable health problem, particularly among women, in whom the annual general practice consultation rate for cystitis and urinary infection has been estimated as 62-5/1000.' Occasionally, urinary tract infections cause serious and permanent renal damage in patients with underlying abnormalities of the renal tract, pregnancy, or diabetes mellitus.' In young men who have not had instrumentation of the genitourinary tract urinary tract infection is rare, except in sexually active homosexuals, but it is more common after the age of 50 owing to prostatic disease. In institutionalised elderly patients the prevalence of asymptomatic bacteriuria approaches 20-50% in women and 5-20% in men.3' Urinary tract infections in childhood may cause longlasting and progressive renal damage, which may result in end stage renal failure in young adults.
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