Culture of the urine

The nature and number of organisms present in the urine are the most useful indicators of UTI. 1

• Most common are enteric organisms. Escherichia coli is responsible for about 90% of UTIs with other Gram-negative organisms (Klebsiella sp and Proteus sp) and Gram-positive cocci (Streptococcus faecalis and staphylococci) also occurring.

• Infections due to organisms other than E.coli, e.g. Pseudomonas sp, are suggestive of an underlying renal tract abnormality.

• If > 10 5 colony forming units (cfu) per mL of bacteria are present in an MSU, it is highly likely that the patient has a UTI.

• On the other hand, it is most important to realise that up to 30% of women with acute bacterial cystitis have less than 10 5 cfu/mL in the MSU. For this reason, it is reasonable to treat women with dysuria and frequency even if they have <10 5 cfu/mL of organisms in an MSU.

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Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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