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無症候性細菌尿:誰を治療する必要がありますか?

無症候性細菌尿:誰を治療する必要がありますか?

Asymptomatic bacteriuria issue which is commonly the issue more likely in a pregnant woman have driving almost gynecologist annoyed. After they found out this problem the patients are always transferred to Urology office. However, this kind of problem is not more likely to be occurred only for pregnancy women, by the way, we will dive out this problem “Asymptomatic bacteriuria” in every aspect of it.

Before we dive deeper, first of all you must fully understand the definition of this condition. Asymptomatic bacteriuria is a combination words between “Asymptomatic” and “Bacteriuria”

  • Asymptomatic – means no any urinary symptoms at all for example – No painful with urination, no urinary frequency, and no suprapubic discomfort.
  • Bacteriuria – means a state of bacteria positive in urine culture.

In conclusion, asymptomatic bacteriuria means a state of positive bacteria colonized in urine without any urinary symptoms. This condition can be occurred in both male and female but more likely in female.

Once patient has been diagnosed with this condition, the rolling of the imaging of urinary tract system shall clarify whether there is no sign of an abnormal urinary tract anatomy involved.

The treatment is another challenging stuff whether we should treat or no treat on this condition? Because most of the patients seems to be won’t get any benefit from antibiotic treatment. Nevertheless, it has increased risk of drug-resistant bacteria.

But we still having for 2 specifically conditions which really need to be treated with antibiotic therapy

無症候性細菌尿:誰を治療する必要がありますか?
There’s a confirmed reports that Asymptomatic bacteriuria significantly increases preterm labor incidence, increases risk of kidney infection.

2 Specific 無症候性細菌尿 condition which need to be treated.

  1. 妊娠
    • There’s a confirmed reports that Asymptomatic bacteriuria significantly increases preterm labor incidence, increases risk of kidney infection
  2. Patients who planned to do urologic procedure
    • Urologic procedure itself may introduce a minor mucosal bleeding which can leads to symptomatic urinary tract infection afterward.
無症候性細菌尿:誰を治療する必要がありますか?
Urologic procedure itself may introduce a minor mucosal bleeding which can leads to symptomatic urinary tract infection afterward.

For the cases that didn’t need any treatment, we’ll stick the following strategy

  • Regular follow up at the office with simple urine examination
  • If the simple urine examination shows positive inflammation cells, then we follow by the urine culture again.
無症候性細菌尿:誰を治療する必要がありますか?

Asymptomatic bacteriuria is very sensitive issue which needs good doctor-patient relationship to maximize the treatment outcomes. If you have any question, talk to your trusted urologist or it would be my pleasure if you text me. See ya!

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無菌性膿尿症:一般的な考え方と適切な管理

無菌性膿尿症:一般的な考え方と適切な管理

無菌性膿尿は、私の泌尿器科のオフィスでよく見られるもう1つの相談です。この状態は、この問題に遭遇している間、常に患者と医師を苛立たせました。病因についての議論の前に、私たちは最初にその定義についてより明確に知っていたでしょう。無菌性膿尿症は、「無菌性」と「膿尿症」の組み合わせです。無菌性–細菌感染がないことを意味します続きを読む “Sterile pyuria: General ideas and proper managements“

残尿:なぜ測定する必要があるのですか?

残尿:なぜ測定する必要があるのですか?

泌尿器科の患者さんの多くは、「なぜ医師は残尿(RU)の測定をする必要があるのですか?」といつも私に尋ねました。この記事では、より明確に説明します。異常な排尿は、多くの病因から引き起こされる可能性があり、疑わしい原因の1つは、膀胱が完了または排出できないことです。続きを読む “Residual urine: why we need to measure ?“

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