The main symptoms of urinary tract infections in menopausal women include frequent urination, urinary urgency, dysuria, nocturia, urinary incontinence, and stress urinary incontinence and so on. Urinary tract infection can be pided into upper urinary tract infection and lower urinary tract infection, the former, including pyelonephritis, renal cortical infection, perirenal abscess, kidney empyema, which includes cystitis and urethritis. The incidence of urinary tract infection was significantly higher than men, the ratio of men and women up to 1: 9. The bacterial infection rate of women over 65 years old can reach 9% ~ 33%.
Most urinary tract infections, especially cystitis, are self limiting diseases. Severe cases still have high fever and white blood cells after treatment, and the complications should be observed. There are mainly the following:
Renal papillary necrosis: usually occurs in severe pyelonephritis with diabetes or urinary tract obstruction. Can be complicated with Gram negative bacteria septicemia or lead to acute renal failure.
Abscess around the kidney: usually develops directly from severe pyelonephritis. Many have diabetes, urinary calculi and other adverse factors.
Infectious stones: pyelonephritis caused by bacteria such as Proteus, which decomposes urea, often causes kidney stones, called infectious stones. Because the antibiotic is not easy to reach the place, it is easy to cause urinary tract infection, treatment failure. Infection, combined with urinary tract obstruction, can lead to renal parenchymal damage and renal impairment.
Septicemia of gram negative bacilli: occurs frequently in acute urinary tract infections, especially after cystoscopy or catheterization. Severe complications of urinary tract infections, especially those associated with acute renal papillary necrosis, are also prone to gram-negative bacilli sepsis.
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