Abstract
Urinary infections are, by frequency, in the second place, immediately behind respiratory infections. The prevalence of urinary tract infections is generally increasing. UTI (urinary tract infections) is more common in women and very young people. The rates of occurrence generally reflect predisposing factors such as congenital anomalies in childhood, the onset of sexual activity, especially in women, and, of course, postmenopausal changes in older women. It is assumed that 50-60% of women can expect an episode of urinary infection during their lifetime. In postmenopausal women, there is a deficit in estrogen. It is one of the important factors that indirectly protects the vaginal mucous membranes as well as the uroepitel from infection. Bacteria from the digestive tract colonize the skin of the perineum, then the vulva, the vagina and the outer opening of the urethra. Normal vaginal flora (lactobacilli) protects the vagina from colonization by fecal bacteria because it lowers pH and creates unfavorable conditions for survival of bacteria.
Highlights
Urinary infections are, by frequency, in the second place, immediately behind respiratory infections
It is assumed that 50-60% of women can expect an episode of urinary infection during their lifetime
There is a deficit in estrogen
Summary
By frequency, in the second place, immediately behind respiratory infections. Acute uncomplicated cystitis is the most common form of urinary infection It is characteristic for women in the sexually active period and for women in menopause. A single dose can be used with nitrofurantoin or phosphomycin-trometamol therapy Both of these the drug has a low resistance rate, and only 5-10% have lower efficacy compared to the three-day TMP-SMK therapy in eradicating the cause and improving clinical symptoms. If the symptoms are very pronounced another antibiotic should be introduced immediately obtaining the antibiogram results [25] If it is a severe clinical picture of acute uncomplicated pyelonephritis where systemic signs of infection (nausea, vomiting) are present, haemodynamic instability or signs of sepsis as well as in the suspected complication of the infection, it is necessary to hospitalize the patient.
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