A 27 year old woman with urinary tract infection in early pregnancy

urinary tract infection in early pregnancy(Cystitis)

definition
Cystitis is a bladder infection that causes a burning sensation during urination. Urine in normal conditions, are usually sterile, but, because during pregnancy, urinary tract mother becomes elastic and dilated, so the bacteria easily enter.

Signs and symptoms

1. Pain in the urinary tract and lower abdomen. If brought painful urination and pain (dysuria due to the inflamed depressed). 2. Frequent urination, but the urine comes out just slightly and the pain (increased frequency of micturition both diurnal and nocturnal).

3. If cystitis is caused by bladder cancer, urine is usually accompanied by pain and blood that comes out with urine

4. pain in the suprapubic or perineal area

Classification

Pathophysiology
Cystitis is an infection of the lower urinary tract is generally caused by gram-negative bacteria that is Escheriachia Coli arise with the propagation of inflammation is due to hematogenous or lower urinary tract obstruction, either acute or chronic can be bilateral or unilateral. Other gram-negative rods including Proteus, Klebsiella, enterobakter, serratea, and Pseudomonas are responsible for a small portion infeksitanpa complications. These organisms may be able to become increasingly important in recurrent infections and infections that are directly related to urological manipulsi, calculi or obstruction. In women usually because of bacteria toward the urethra or vaginal area of the urinary meatus kekandumg continue to rise and may also be due to renal infection but the most common infection caused by E.coli.

Routes of infection
Commonest of the urethra, the urethra is shorter

woman makes penyalkit is more often found in women Kidney infections are often inflamed, the urine can enter kekandung tract. The spread of the infection locally from organs such as bladder laindapat about appendiksitis In men the prostate is the source of infection.

Factors Presdiposisi
Foreign bodies that cause irritation, such as calculus tumors and faeces of intestinal fistula Chronic urinary retention that allows the breeding ground for bacteria Sexual intercourse Lack of drinking water Often held to urinate Wipe the wrong way from the bottom up.

Prevention
Maintain cleanliness of the genital area

with clean water. Increase endurance by consuming vitamin C supplements or fruit source of vitamin C. Immediately treat excess vaginal discharge Not hold urine. Drink plenty of water.

Laboratory tests

Piuri (> 10/LPB) Cylinders leucocytes hematuri (> 5/LPB) Proteinuri Bakteriuri (> 100,000 colonies / ml urine) The urine looks cloudy

Prognosis
Infections of the urinary bladder has a possibility to be able to heal itself if not accompanied by an infection of the kidney, prostate, or the presence of residual urine.

Complication
Delivering low birth weihgt or premature infants for pregnancy woman

Acute or chronic kidney infections (pyelonephritis)

CONCLUSION

Cystitis is the inflammation of the mucosal jars - jars are often caused by bacterial infection. Germs that cause these infections are primarily Escherichia Colli, enterococci, Proteus, and Staphylococcal aureus into the jars - jars primarily through the urethra. Acute cystitis is very apt to occur if the local defense of the body decreases, ie in diabetes mellitus or minor local trauma during intercourse. Bladder infection commonly occurs in women, especially in the reproductive period. Some women suffer from recurrent bladder infections.