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Related Concept Videos

Sexually Transmitted Infections01:26

Sexually Transmitted Infections

Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
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Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Related Experiment Video

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Transurethral Induction of Mouse Urinary Tract Infection
09:24

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Published on: August 5, 2010

Urinary tract infection in men.

E Hummers-Pradier1, A M Ohse, M Koch

  • 1Department of General Practice/Family Medicine, University of Göttingen, Germany. ehummer@gwdg.de

International Journal of Clinical Pharmacology and Therapeutics
|December 21, 2004
PubMed
Summary

Urinary tract infections (UTIs) in men are common, with 60% of symptomatic cases confirmed by urine culture. Empirical antibiotic treatment is often inappropriate, highlighting the need for targeted therapy based on culture and sensitivity testing.

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Area of Science:

  • Urology
  • Infectious Diseases
  • Primary Care Medicine

Background:

  • Urinary tract infections (UTIs) are common, but their presentation and management in men within primary care settings require further investigation.
  • Symptomatic men often present with complex factors, including advanced age and comorbidities, influencing UTI diagnosis and treatment.

Purpose of the Study:

  • To determine the prevalence and microbiology of UTIs in symptomatic men attending primary care.
  • To assess the appropriateness of antibiotic prescribing and patient management by general practitioners for suspected UTIs in men.

Main Methods:

  • A cross-sectional survey was conducted in 36 German general practices, involving adult men with UTI symptoms.
  • Data collected included patient characteristics, dipstick tests, urine culture results, and antibiotic susceptibility testing.
  • Management decisions by general practitioners (GPs) were documented and compared with laboratory findings.

Main Results:

  • 60% of symptomatic men had confirmed UTIs, with a significant proportion showing low colony counts or multiple bacterial growth.
  • Dipstick tests for leukocytes and nitrites demonstrated limited diagnostic accuracy.
  • Antibiotic prescriptions were common (36%) but frequently not well-targeted, with high resistance rates observed for several common antibiotics.

Conclusions:

  • Empirical antibiotic treatment for suspected UTIs in men is often inappropriate and should be avoided.
  • Urine culture and antibiogram are essential before initiating treatment to ensure targeted and effective therapy.
  • Low-count UTIs in men are frequent and should be considered clinically significant, warranting appropriate investigation.