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THE APPROACH OF FAMILY DOCTORS TOWARD URINARY TRACT INFECTION

Dr. Haytham Abdullah Amin Abo-sallamah

The right diagnosis can help to make use of antibiotics much more specific. In this review we discuss the diagnosis method of UTI and management approach in primary care of the most popular type (uncomplicated acute UTI). Electronic databases; MEDLINE, EMBASE and The Cochrane Library databases were searched up to November 2018 to identify relevant studies discussing the approach of family doctors toward Urinary tract infection, using following Mesh terms: “urinary tract infection” OR “UTI” Combined with “management” OR “family physicians”. Infections of the urinary tract are among the most constant factors for therapy in primary healthcare. Diagnosis exclusively based on medical signs is often wrong. Asymptomatic bacteriuria needs a therapy in special situations. The gold requirement for the medical diagnosis of a urinary system infection is the discovery of the pathogen in the existence of clinical symptoms. The pathogen is spotted and recognized by urine culture (using midstream urine). This additionally allows an estimate of the degree of the bacteriuria. Nevertheless, the minimal level of bacteriuria showing an infection of the urinary system has actually not been specified in scientific literature or standard by microbiological laboratories. Several labs define 105 colony developing units (cfu)/ mL urine as the limit. However, this limit misses numerous pertinent infections. There are as a result various other recommendation that recommend the diagnosis of UTI from a matter of 103 cfu/mL, depending upon the kinds of germs spotted. Analysis precision can be increased by utilizing dip sticks and clinical formulas.

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