Recurrent Urinary Infections– Seek Help of a Nephrologist! | Max Hospital
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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Recurrent Urinary Infections– Seek Help of a Nephrologist!

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March 29, 2018 0 31 1 minute, 48 seconds read
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There are many reasons behind recurrent infections of the urinary tract in adults. Dr. Alka Bhasin, Director – Nephrology, Max Smart Super Speciality Hospital, Saket, gives some questions, which could help you identify the problem and seek immediate medical intervention.

  • Is the microbe causing the urinary infection truly identified by the laboratory and significant?
  • Is the urinary microbe the same in each instance or varying?
  • Are there accompanying symptoms of burning in the urine, voiding very frequently, urgency, pain over the kidneys, fever? Are there accompanying pus cells in the urine?
  • Is there urinary incontinence? As this can promote infection or be a consequence of the infection.
  • Any accompanying visible blood in urine? – This could be due to cystitits, a stone in the urinary system, prostate enlargement, trauma of the urethral passage, sloughed dead tissue passing out from the kidney.

5 Alarming Signals of UTI’s

  • In women—any untreated vaginal infection or pelvic inflammatory disease, recent gynaecological intervention/pap smear, prolapsed of bladder/uterus/rectum, use of intrauterine contraceptive device to be looked for with a thorough evaluation.
  • In men – any prostatitis, balanitis, epididymo-orchitis, inguinal hernia, hydrocele to be looked for.
  • Recent unprotected sexual activity could be a repeated trigger.
  • Recent / repeated urological interventions such as a urinary catheter placement, external catheter placement, cystoscopic examination, urodynamics study, surgery on the urinary tract may be important factors.
  • Lack of correct treatment for the bacteria responsible for the urinary infection – I am referring in particular to use of inappropriate antibiotic (multidrug resistant bacteria are increasingly common in the community and require specialised intravenous antibiotics only), inadequate duration of antibiotic course (minimum 2-3 week course of appropriate antibiotic is needed for kidney infection), improper interpretation of the urine culture report.
  • Need to evacuate pus from the site by needle aspiration so that antibiotic penetration occurs better.
  • Need to remove the offending stone causing obstruction or otherwise
  • Unable to use a preventive low-dose antibiotic wherever indicated.
  • Patient factors such as poorly controlled diabetes, use of immunological suppressants / chemotherapy, the doses of which may need to be reduced or eliminated.
  • Recent diarrhea and faecal incontinence are triggers to the increase of microbes into the urinary space.

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