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Lifestyle Issues and Prevention of Recurrent Utis: A. K. Mohiuddin E-Mail
Lifestyle Issues and Prevention of Recurrent Utis: A. K. Mohiuddin E-Mail
UTI is one of the most prevalent diseases with Sexual intercourse ≥3 times/week was
diverse etiological agents annually affecting associated with greater frequency of UTI [21].
250 million and causes death of 150 million Close proximity of the urethral meatus to the
people worldwide [1, 2]. Adult women are 30 anus and shorter urethra, is a likely factor
times more likely than men to develop a UTI [22-26]. Many other factors have been
[3]. Although the estimated mortality rate is thought to predispose women to RUTIs, such
generally lower than with RTIs, it may rise up as voiding patterns pre- and post-coitus,
to 26% if complicated with bacteremia or wiping technique, wearing tight
septic shock [4]. Financial burden of UTIs undergarments, deferred voiding habits and
exceeds $3.5 billion in US alone [5] whereas vaginal douching; nevertheless, there has
more than 50% of the antibiotics prescribed been no proven association [16]. Although,
for a suspected UTI in older adults being genital hygiene practices such as frequency of
considered unnecessary [6]. More coitus, urinating after coitus, washing genitals
interestingly, nosocomial UTIs account for precoitus, male partner washing genitals
nearly 40% of all hospital acquired infections precoitus, washing genitals postcoitus, taking
[7] and around 50% of UTI in children are baths, frequent replacing of underwear, and
missed [8]. Recurrent UTIs (RUTIs) are washing genitals from front to back were
mostly caused by frequent sexual intercourse, associated with a reduced frequency of UTIs
heterosexual lack of circumcision receptive [21]. Low socioeconomic status, depression,
anal intercourse (without a condom), anxiety, inadequate water intake, low
multiple sexual partners (each sex partner educational status, anemia, catheterization,
shares his/her UGT microbiota with the poor personal hygiene, poor access to
other), use of spermicide and a new sexual condoms and other contraceptive devices,
partner, sexual intercourse with addicted spermicide-coated condoms, poor access to
partners, sexual intercourse with sex qualified healthcare systems, high rate of
workers, sexual intercourse with online family disruption, mental disorders are also
dating friends, sexual intercourse with a new risk factors [14], [28-45]. Catheter-
sex partner within less than 2 months [9-20]. associated-UTIsare common in more than
Traditional lifestyle factors such as fluid 80% of all ICU patients with indwelling
intake and diet are not considered catheter (more than 1 million such cases
independent risk factors now [15].UTIs found in US) [46, 47] and should be avoided
account for nearly 25% of all infections [16]. unless there is medically necessity [48].
International Research in Medical and Health Sciences | Vol. 2 | Issue 4 | July- August| 2019 Page 73
Dr. A.K. Mohiuddin; Lifestyle Issues and Prevention of Recurrent UTIs www.irmhs.com
International Research in Medical and Health Sciences | Vol. 2 | Issue 4 | July- August| 2019 Page 74
Dr. A.K. Mohiuddin; Lifestyle Issues and Prevention of Recurrent UTIs www.irmhs.com
6. Gharbi, M., Drysdale, J. H., Lishman, H., 12. Budkaew, J., Chumworathayi, B.,
Goudie, R., Molokhia, M., Johnson, A. Pientong, C., & Ekalaksananan, T.
P.,. Aylin, P. (2019). Antibiotic (2019). Prevalence and factors
management of urinary tract infection associated with gonorrhea infection
in elderly patients in primary care with respect to anatomic distributions
and its association with blood stream among men who have sex with men.
infections and all cause mortality: PloS one, 14(4), e0211682.
population based cohort study. BMJ doi:10.1371/journal.pone.0211682
(Clinical research ed.), 364, l525. 13. DʼAnna LH, Warner L, Margolis AD,
doi:10.1136/bmj.l525 Korosteleva OA, OʼDonnell L,
7. Milovanovic, T., Dumic, I., Veličkovic, Rietmeijer CA, Klausner JD, Malotte
J., Lalosevic, M. S., Nikolic, V., & CK (2015). Safe in the City Study
Palibrk, I. (2019). Epidemiology and Group. Consistency of Condom Use
risk factors for multi-drug resistant During Receptive Anal Intercourse
hospital-acquired urinary tract Among Women and Men Who Have
infection in patients with liver Sex With Men: Findings From the Safe
cirrhosis: single center experience in in the City Behavioral Study. Sex
Serbia. BMC infectious diseases, Transm Dis ;42(7):393-9. doi:
19(1), 141. doi:10.1186/s12879-019- 10.1097/OLQ.0000000000000306.
3761-5 14. Behzadi, P., Behzadi, E., & Pawlak-
8. Shrestha, L. B., Baral, R., Poudel, P., & Adamska, E. A. (2019). Urinary tract
Khanal, B. (2019). Clinical, etiological infections (UTIs) or genital tract
and antimicrobial susceptibility infections (GTIs)? It's the diagnostics
profile of pediatric urinary tract that count. GMS hygiene and infection
infections in a tertiary care hospital of control, 14, Doc14.
Nepal. BMC pediatrics, 19(1), 36. doi:10.3205/dgkh000320
doi:10.1186/s12887-019-1410-1 15. Jhang, J. F., & Kuo, H. C. (2017). Recent
9. Abdul Kader Mohiuddin (2019). advances in recurrent urinary tract
Alternative Management of infection from pathogenesis and
Uncomplicated UTIs In Women. J Urol biomarkers to prevention. Ci ji yi xue
Neph St; 2(2) JUNS. MS.ID.000133. za zhi = Tzu-chi medical journal,
DOI: 10.32474/JUNS.2019.02.000133. 29(3), 131–137.
10. Vasilenko, S. A., Rice, C. E., & doi:10.4103/tcmj.tcmj_53_17
Rosenberger, J. G. (2018). Patterns of 16. Al-Badr, A., & Al-Shaikh, G. (2013).
Sexual Behavior and Sexually Recurrent Urinary Tract Infections
Transmitted Infections in Young Men Management in Women: A review.
Who Have Sex With Men. Sexually Sultan Qaboos University medical
transmitted diseases, 45(6), 387–393. journal, 13(3), 359–367.
doi:10.1097/OLQ.000000000000076 17. Boeri, L., Capogrosso, P., Ventimiglia,
7 E., Scano, R., Graziottin, A., Dehò, F., …
11. Owen, B. N., Elmes, J., Silhol, R., Dang, Salonia, A. (2017). Six Out of Ten
Q., McGowan, I., Shacklett, B., … Boily, Women with Recurrent Urinary Tract
M. C. (2017). How common and Infections Complain of Distressful
frequent is heterosexual anal Sexual Dysfunction - A Case-Control
intercourse among South Africans? A Study. Scientific reports, 7, 44380.
systematic review and meta-analysis. doi:10.1038/srep44380
Journal of the International AIDS 18. Storme, O., Tirán Saucedo, J., Garcia-
Society, 19(1), 21162. Mora, A., Dehesa-Dávila, M., & Naber,
doi:10.7448/IAS.20.1.21162 K. G. (2019). Risk factors and
International Research in Medical and Health Sciences | Vol. 2 | Issue 4 | July- August| 2019 Page 75
Dr. A.K. Mohiuddin; Lifestyle Issues and Prevention of Recurrent UTIs www.irmhs.com
International Research in Medical and Health Sciences | Vol. 2 | Issue 4 | July- August| 2019 Page 82