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Cistitis aguda - Symptom

Nombres alternativos

Infección aguda de las vías urinarias (IVU aguda); Infección aguda de la vejiga; Infección no complicada de las vías urinarias; Cistitis bacteriana aguda

Síntomas:

Los síntomas de una infección vesical abarcan:

  • Orina turbia o con sangre, la cual puede tener un olor fuerte o fétido
  • Febrícula (no todo mundo tendrá fiebre)
  • Dolor o ardor al orinar
  • Presión o calambres en la parte baja del abdomen (normalmente la parte media) o en la espalda
  • Necesidad imperiosa de orinar con frecuencia, incluso inmediatamente después haber vaciado la vejiga

Con frecuencia, en las personas de edad avanzada, los cambios mentales o la confusión son los únicos signos de una posible infección urinaria.

Signos y exámenes:

Generalmente se recoge una muestra de orina para realizar los siguientes exámenes:

  • Un análisis de orina se hace para buscar glóbulos blancos, glóbulos rojos, bacterias y evaluar ciertos químicos, como nitritos en la orina. La mayoría de las veces, el médico o la enfermera pueden diagnosticar una infección usando un análisis de orina.
  • Se puede efectuar un urocultivo (muestra limpia) para identificar la bacteria en la orina con el fin de constatar que se esté usando el antibiótico correcto para el tratamiento.
  • Reviewed last on: 9/17/2010
  • Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Little P, Moore MV, Turner S, et al. Effectiveness of five different approaches in management of urinary tract infection: randomised controlled trial. BMJ. 2010.340:c199. doi:10.1136/bmj.c199.

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;35(2):235-248.

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