| Discussion in 'All Categories' started by Rahul - Apr 4th, 2016 4:01 pm. | |
Rahul
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Hi, My brother is 20 years old. he was born with spina bifeda, also he is handicaped by birth, we operated this spina bifeda at the age of 3 months baby. so far this 20 years there is no any problem in his daily life cycle. but from this 16 Jan 16 onward he is keep on suffering by UTI (Ecolai Bacteria) every 10 days he will be admitted for this problem. then he will take some antibiotics for a week time through IV injection once its completed he will be normal for 3 or 4 days again he will suffer by this same problem, later only we know that his problem is NUROGENIC BLADDER so doctors advised us to CIC Catherisation. When ever we put the catheter inside there will be a pus discharge in the urine, either light greenish or some white tissues. So far we admitted him in the hospital for more that 5 time in three months doctors also diagnosed many antibiotics, his urea and creatin and all safe but still he suffering by this problem, is there any solution to overcome this nurogenic bladder any surgery or any other treatment. can you please guide us to over this problem? that will help us a lot to survive further. Thank you |
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re: Spina Bifeda
by Dr R K Mishra -
Apr 18th, 2016
4:35 pm
#1
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Dr R K Mishra
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Recurrent urinary tract infections is a significant problem in all patients with neurogenic bladder leading to high morbidity, poor quality of life and a limited life expectancy. For the diagnosis of UTI, a urine specimen taken by bladder puncture or catheterization is required. In patients with neurogenic bladders, clinical symptoms and leukocyturia must be present together with bacteriuria in order to qualify as UTI. The spectrum of pathogens differs significantly from that in patients with normal bladder function. Culture and antimicrobial susceptibility testing must, therefore, be performed prior to the initiation of antibiotic therapy. This is also important in the prevention of the emergence of antimicrobial resistance. The main way to prevent recurrent UTI in the neurogenic bladder is by restoring the normal low-pressure reservoir function of the bladder and is the aim of neuro-urological management. The initial results of case studies indicate that autovaccination may be clinically useful. This technique, which has been utilized in Eastern Europe for about 20 years, uses inactivated whole-cell vaccines manufactured from disease-causing microorganisms for modulation of the immune system of the individual patient According to evidence-based guidelines, merely symptomatic UTI should be treated with antibiotics. Treatment should be based on the results of microbiologic testing if possible, and taking a urine specimen is mandatory. For many details, however, like duration of treatment, substances to use, etc., sound medical evidence does not exist. With regard R K Mishra |
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