Are Urinary Tract Infections in Men Serious?

As a man, urinary tract infection is not an easy topic. Once you have a urinary tract infection, it will lead to more other problems. Therefore, once you have a urinary tract infection, you need emergency treatment to prevent a minor illness from becoming a major illness, which will be more difficult to treat. Today, let's take a look at male urinary tract infection, how to treat it and what medicine to use!

More than 95% of urinary tract infections are caused by a single bacterium. Among them, 90% of outpatients and about 50% of inpatients are caused by Escherichia coli, which can be classified into 140 types. The urinary infection type Escherichia coli is the same type as the Escherichia coli isolated from the patient's feces, and is often seen in asymptomatic bacteriuria or uncomplicated urine infection; Proteus, Aerobacterium, Klebsiella pneumoniae, Pseudomonas aeruginosa, Fecal Streptococcus is seen in patients with reinfection, indwelling catheters, and urinary tract infections with complications; Candida albicans and Cryptococcus neoformans are more common in patients with diabetes, patients taking glucocorticoids and immunosuppressive drugs, and patients after kidney transplantation; Staphylococcus aureus is more common in bacteremia and septicemia caused by skin trauma and drug addicts; although viral and mycoplasma infections are rare, they have gradually increased in recent years. Various bacterial infections are seen in indwelling catheters, neurogenic bladders, stones, congenital malformations, and vaginal, intestinal, and urethral fistulas.

Antimicrobial therapy is not recommended for non-pregnant premenopausal women, diabetic patients, the elderly, patients with spinal cord injury, and patients with indwelling urinary catheters with asymptomatic bacteriuria. However, for patients with asymptomatic bacteriuria who have undergone transurethral prostate surgery or other urological surgery or examination that may cause urinary mucosal bleeding, sensitive antibiotics should be used according to the results of bacterial culture.

Catheter-related urinary tract infection

(1) Asymptomatic bacteriuria Antibiotic treatment is not recommended for most asymptomatic bacteriuria. Appropriate treatment is recommended in some exceptions: nosocomial infections caused by more virulent microorganisms; patients who may be at risk for serious complications; patients undergoing urological surgery; infections with certain strains that can cause a high incidence of bacteremia; and older female patients who may need short-term treatment after catheter removal.

(2) For symptomatic infections, it is recommended to replace catheters that have been in place for more than 7 days before taking urine samples for culture and before applying antimicrobial drugs, or to use other drainage methods such as penile sheath drainage, suprapubic cystostomy drainage, etc.; if there is no need to continue the catheterization, it can be discontinued. It is recommended to select effective antibiotics based on the results of urine culture and drug sensitivity tests. Initially, broad-spectrum antibiotics can be selected based on experience, and then the use of antibiotics can be adjusted based on the culture results. Oral medication can be used for patients with mild symptoms, generally for 5-7 days. Non-gastrointestinal medications, such as intramuscular or intravenous injections, can be used for patients with severe symptoms, fever, positive blood culture, and difficulty in gastrointestinal medication. For severe cases, medication is generally used for 10 to 14 days. Occasionally, candida infection may occur, which can be treated with antifungal therapy. Long-term, unfounded use of antibiotics is not recommended.

After reading the above introduction, I believe you will no longer foolishly ask whether urinary tract infection is serious? Because urinary tract infection is a problem of the urinary system, if it is not treated in time, it can easily become urethritis or other serious diseases. Therefore, I remind all male friends to pay attention to their health, and don’t think that urinary tract infection is harmless, be careful of your body!