Male 1: Urinary tract infections are pretty common I think.
Male 2: Very common
Male 1: What is the most common risks somebody get with urinary tract infection?
Male 2: Most of the time it is usually contamination with recto bacterius.
Male 1: So, when a woman wipes herself from the anus towards the front quickly,
Male 2: They will be carrying the bacteria from the anus which is usually an E.coli or antrial caucus. They will colonized the introitus and it goes up the unit
Male 1: So women are more prone than man in other words.
Male 2: Women are more prone. It is very important when you have this urinary tract infection to determine what kind of bacteria you have. If it is the most common like the E.coli or an antero caucus then usually those are the common type of bacteria. They usually are giving somebody a little bit of urinary antiseptic. You can control this. In the other hand, if you develop any one like Pseudomonas, like Klebsiella one of the weird bacteria. They are usually urea splitting organisms and those organisms you have to identify where they are coming from. A lot of time she had either an obstruction of the urine. You cannot empty the bladder very well, you carry a larger serum, you have a stone or you have any kind of a blockage any place in the kidneys. So it is very [voice overlapped] to find out why.
Male 1: To call a doctor, I think I have a blind infection because of prescription, what you mean is your culture is not a good practice, is it?
Male 2: It is not really a good culture and not a good practice because a lot of times, a lot of women
Male 1: New exceptions are made.
Male 2: There are a lot of exceptions, I mean they have this in the middle of the night and this is the first or the second time that you can prescribed it. I mean you can use somebody.
Male 1: You wanted to get a urine culture.
Male 2: You should have a urine culture and then lot of people that they refer to urologist because they have a recurrent urinary tract infection. There is no other culture. They always treat it is because it happens at 7:00 o’clock at night, 8:00 o’clock, 10:00 o’clock in the middle of the night. They call their doctor and the first thing they have to do is you are going to give them something in order to get and buy this thing and you have to investigate whether or not a they really have urinary tract infection or they have some other causes for this.
Male 1: Basic rule for this one, if you get a couple of urinary tract it eventually is connected to a couple of studies
Male 2; After doing a couple of studies, definitely.
Male 1: It will be like a sonogram.
Male 2: You do a sonogram on the kidneys and the bladder and that is going to tell you if you have any major anomaly. If you have any thing that you find then you go and calm down those studies a little bit.
Male 1; The culture is more than just what you have it. It tells you what organism, how much and sometimes it tells you what you want by work essential.
Male 2: That is correct. Now, remember one thing, in women usually you say over a hundred thousand colonies but sometimes between 10,000 and 100, 000 colony is also significant. In men, any amount of colony is very important.
Male 1; In other words, the judgment of the doctor is very important.
Male 2; If you are dealing with prostatitis, most of the cultures unless somebody else is running 104 temperature and got a tremendous amount of burning and prostate discharge to the penis. Most of the culture exam is surely negative. They have seen that in the culture of the urine, more than five days, they are going to grow something. But most of the labs since that commercial labs is usually anti-economical for them to keep the plates for more than 24 hours in the incubators if there is nothing wrong so they discard the original while we do this, we do something which is called a Dewey 3. We give somebody a prostatic massage and they urinate and the first urine that they pass after the prostatic massage, that is culture. They usually carry the bacteria and the secretion from the prostate and then you see what kind of a bug comes out in them and it is important.
Transcription by:
Scribe4you Transcription Services