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You can use imipenem, 0.25 of a 1g / time ,2-4 times / d. Generally of moderate infection can lg / times 2 times a day dosingUrinary tract caused by inflammation, including urethritis, cystitis and pyelonephritis. The main clinical manifestations are: chills, fever, lower back pain, bladder irritation, such as pyuria and bacteriuria.

The treatment of urinary tract infection is a new concept: According to the site and type of urinary tract infection were given different treatment.On only showed frequent urination, urination discomfort, no abnormal other women, or 3 days with a single dose therapy to: (1) single-dose therapy, a Dayton clothing that any of the following drugs, amoxicillin 3.0g; Ofloxacin 0.4g; ciprofloxacin 0.75g; Trimethoprim (TMP) 0.4g; cotrimoxazole 5 (each containing SMZ0.4g, TMP0.08g). (2) 3 days therapy, amoxicillin 0.5g, 4 times a day; Ofloxacin 0.2g, 2 times a day; ciprofloxacin 0.50g, 1 3 times a day; Trimethoprim (TMP) 0.4 g; cotrimoxazole 2 tablets 2 times a day; Choose 1 or more drugs, 3 days. Well rethe patient within 1 week. Such as when the patient has not reed, frequent urination, urination discomfort, still need to do urine bacterial culture and bacterial count. If negative, it indicates that the original patient is suffering from bacterial cystitis, have been cured; if positive, then the recurrence of urinary tract infection, the patient may suffer from occult pyelonephritis, conditional, it is best drug sensitivity test before maki


ng use of antimicrobial drug therapy, antimicrobial drugs should be given 14 days of conventional treatment. When such reis still frequent urination, urination discomfort, the bacterial culture of urine and urine routine laboratory tests, can be diagnosed as positive pyelonephritis.
3 days after single-dose treatment failure or urinary tract infection, or a mild fever and rib ridge angle knocking pain pyelonephritis, should be orally active antibiotics for 14 days. If the typical clinical symptoms and more severe cases, should be administered intravenously. Optional cefazolin or ampicillin; necessary, plus cefotaxime sodium with sulbactam sodium. Susceptibility in access to the report, renal toxicity may be appropriate and economical use of antibiotics to complete 2 weeks of treatment.

3, recurrent urinary tract infections

Episodes per year more than 2 persons, including recurrent and severe recurrent infections. Antibiotics should be given to short-range (single-dose or 3 days therapy) treatment, 4 to 7 days re. If symptoms disappear, the urine-negative bacteria, no white blood cells in urine, may be that the treatment success and explain the recurrence of urinary tract infections is to re-infection, rather than recurrence. Such as antimicrobial therapy with short-range, the rewill still have bacteria in the urine, or leukocytes in urine and frequent urination, urination discomfort, and you should check into whether the original use of pathogenic antibiotic-sensitive, if not sensitive, you should use sensitive antibacterial drugs for the short-course treatment.

If this treatment fails, it indicates that the hair as pyelonephritis, should be effective use of strong susceptibility bactericidal antimicrobial agents, the extent allowed by the largest dose, treatment for 6 weeks.Use of the catheter is a urinary tract infection caused by hospital acquired infection in the most common cause, of which 2% to 4% developed sepsis Gram-negative bacteria, it may lead to death. Therefore, only when absolutely necessary, only the use of catheters, and removed as quickly as possible. Indwelling catheter for urinary tract infection symptoms if the patient should immediately be a strong antibiotic treatment, and timely replacement of the catheter, if necessary, consider changing the drainage way; such as urinary tract infection in patients without symptoms, and only asymptomatic bacteria in urine, should not be treated temporarily, until the removal of the catheter after treatment.Infant urinary tract infection can lead to renal developmental disorders and renal scars, causing permanent renal damage, severe consequences than adults. And half of them there is vesicoureteral reflux, increased with age, can develop into "chronic atrophic pyelonephritis" and even renal failure. Pyelonephritis in children the principles and methods of treatment with the adults, but fever was later changed to oral antibiotics, it should be for 1 to 3 months. Those who repeatedly relapse, especially those with scar formation or regurgitation in patients with long-term medication should be prevented. Surgical treatment should be taken when necessary.6, urinary tract infection in pregnancy

Progesterone secretion during pregnancy because the increase in the ureter and renal pelvis and expansion weakened peristalsis, leading to urinary tract obstruction, high incidence of urinary tract infection, should be actively treated. Urinary tract infection and pregnancy in the treatment of urinary tract infection generally the same. However, renal toxicity should be selected smaller, less impact on the fetus of antimicrobial drugs, such as ampicillin, amoxycillin, or Vanguard ADM. In particular, within 3 months of pregnancy, medication for pregnant women are more careful.
(1) non-pregnant women with asymptomatic bacteria in the urine, usually no treatment, no adverse effects due to long-term observation. Some scholars believe that using an antibiotic for 14 days a course of treatment. Of bacteria in urine of asymptomatic pregnant women must be treated, because treatment for the protection of the mother (acute pyelonephritis occur and increase the probability of occurrence of eclampsia) and fetal (birth weight less than or even preterm) are good. The same treatment of urinary tract infection and pregnancy, such as bacteria in the urine after treatment there should be a long-term low-dose antibiotic therapy. (2) pre-school children with asymptomatic bacteria in urine, to be treated, the treatment of urinary tract infection in children with the same earlier. (3) the elderly asymptomatic bacteria in urine, usually untreated, little effect on its health. (4) urinary tract of patients have other complex issues, most of the bacteria associated with urinary symptoms, because often no cure, it is generally not treated.
50 years of age, due to benign prostatic hyperplasia, caused by poor urine flow, high incidence of urinary tract infection. 50 years ago, a rare male urinary tract infection, in the event, treatment is difficult because these patients often accompanied by chronic prostatitis or urinary tract abnormalities. Optional cefazolin; or ampicillin; or cefotaxime sodium with sulbactam intravenously a course of treatment. If after the treatment, there is still recurrence of the following ways: (1) to give the same recurrence time of treatment. (2) use long-range low-dose antibiotic therapy. (3) If indications for surgery, surgery to correct urinary obstruction as soon as possible



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