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Chemical structure of nitrofurantoin. Nitrofurantoin is regarded as the first-line agent for simple cystitis, with an efficacy rate ranging from 88% to 92%. [9] It can also be a prophylactic agent to prevent long-term UTIs. [10] This antibacterial medication is effective against both gram-positive and gram-negative bacteria. [11]
Nitrofurantoin is pregnancy category A in Australia. [3] It is one of the few drugs commonly used in pregnancy to treat UTIs. [38] There is a potential risk of hemolytic anemia in the newborn when used near time of delivery. [3] Newborns of women given this drug late in pregnancy had a higher risk of developing neonatal jaundice. [39]
Pyelonephritis affects about 1 to 2 per 1,000 women each year and just under 0.5 per 1,000 males. [5] [7] Young adult females are most often affected, followed by the very young and old. [2] With treatment, outcomes are generally good in young adults.
An upper urinary tract infection which involves the kidney is called pyelonephritis. About 10–20% of pyelonephritis will go on and develop scarring of the affected kidney. Then, 10–20% of those develop scarring will have increased risk of hypertension in later life. [114]
Up to 10% of women have a urinary tract infection in a given year and half of all women have at least one infection at some point in their lives. [ 6 ] [ 7 ] There is an increased risk of asymptomatic or symptomatic bacteriuria in pregnancy due to physiological changes that occur in a pregnant woman which promotes unwanted pathogen growth in ...
Out of the 1,374,392 female deaths reported in the US in 2017, kidney disease was listed as the cause of death for 24,889 women and was reported as the 9th overall cause of death for women in 2017. [45] Out of the 1,439,111 male deaths reported in the US in 2017, kidney disease was not listed in the top 10 causes of death. [45]
It has been easy to test for the presence of gonorrhea by viewing a Gram stain of the urethral discharge under a microscope: The causative organism is distinctive in appearance; however, this works only with men because other non-pathogenic gram-negative microbes are present as normal flora of the vagina in women. Thus, one of the major causes ...
Pregnant women are also at higher risk of developing UTI's, and in pregnant women, the development of UTI's can be quite dangerous; thus, it is highly advised for pregnant women to seek immediate care if experiencing significant signs and symptoms of a UTI. [28] Purple urine bag syndrome typically occurs as a result of bacterial infections.