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Urinary tract infection - adults - Overview

Alternative Names

Bladder infection - adults; UTI - adults

Definition of Urinary tract infection - adults:

A urinary tract infection, or UTI, is an infection that can happen anywhere along the urinary tract. The urinary tract includes the:

  • Bladder
  • Kidneys
  • Ureters -- the tubes that take urine from each kidney to the bladder
  • Urethra -- the tube that empties urine from the bladder to the outside

See also:

Causes, incidence, and risk factors:

Urinary tract infections (UTIs) have different names, depending on where the infection is located.

Cystits, a common condition, is an infection of the bladder. It is usually caused by bacteria entering the urethra and then the bladder. This leads to inflammation and infection in the lower urinary tract.

Pyelonephritis is an infection of one or both kidneys and the surrounding area.

Certain people are more likely to get UTIs. Women tend to get them more often because their urethra is shorter and closer to the anus. Persons with diabetes and very old adults (especially those in nursing homes) are more likely to develop UTIs. The elderly are at increased risk for such infections because the bladder doesn't empty fully due to certain prostate and bladder conditions.

Children can also develop UTIs.

See: Urinary tract infection - children

The following increase your chances of developing a UTI:

  • Bowel incontinence
  • Having a tube called a catheter inserted into your urinary tract
  • Kidney stones
  • Staying still (immobile) for a long period of time (for example, while you are recovering from a hip fracture)
  • Menopause
  • Narrowed urethra
  • Not drinking enough fluids
  • Pregnancy
  • Prostate inflammation or enlargement
  • Sexual intercourse, especially if you have multiple partners
  • Using a diaphragm for birth control
  • Reviewed last on: 10/2/2008
  • Louis S. Liou, MD, PhD, Assistant Professor of Urology, Department of Surgery, Boston University School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Cincinnati Children's Hospital Medical Center. Evidence-based care guideline for medical management of first urinary tract infection in children 12 years of age or less. Cincinnati (OH): Cincinnati Children's Hospital Medical Center; 2006 Nov. 23 p.

Lin K, Fajardo K; U.S. Preventive Services Task Force. Screening for asymptomatic bacteriuria in adults: evidence for the U.S. Preventive Services Task Force reaffirmation recommendation statement. Ann Intern Med. 2008 Jul 1;149(1):W20-4.

Norrby SR. Approach to the patient with urinary tract infection. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap.306

Foster RT Sr. Uncomplicated urinary tract infections in women. Obstet Gynecol Clin North Am. 2008 Jun;35(2):235-48, viii.

Pohl A. Modes of administration of antibiotics for symptomatic severe urinary tract infections. Cochrane Database Syst Rev. 2007 Oct 17;(4):CD003237.

Nicolle LE. Uncomplicated urinary tract infection in adults including uncomplicated pyelonephritis. Urologic Clinics of North America. 2008 Feb:35(1).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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