Escherichia coli (E. coli) is a fairly common microorganism that provokes numerous pathologies in the reproductive, digestive, and urinary systems. As an option, the bacterium is present in the mucous membranes and on the skin.
Escherichia coli in the urine. Causes
As a rule, the infection mechanism is determined by the direct penetration of the microorganism from the intestine with insufficient compliance or lack of hygiene measures.
The cause of infection may be an unconventional method of sexual contact (anal sex). About 80-85% of urinary tract infections are associated with the activity of E. coli. Clinically, the lesion manifests itself in the form of such pathologies as prostatitis, urethritis, cystitis, pyelonephritis.
Diagnosis of infections
The most common way to detect a microorganism is the bacteriological method - sowing material on special media. If there is a suspicion of infection in the laboratory, the pathogen is identified and its sensitivity to antibiotics is determined. If Escherichia coli is found in the crop in excess of the norm, the corresponding degree of microbiological deviation is established.
The increased content of E. coli is called bacteriuria. In the case of an asymptomatic course of the pathology, the diagnosis is made in the presence of microorganisms in an amount of 105 or more CFU / ml of material. A lower bacterial content is considered a sign of urine contamination during collection (contamination). With the severity of symptoms, the presence of E. coli in an amount of 102-104 CFU per milliliter is sufficient for diagnosis.
Infections caused by Escherichia coli. Treatment
First of all, organizational and regime measures are applied. In accordance with clinical indications, hospitalization may be recommended. Given the nature of the lesion, a diet regimen is prescribed. If Escherichia coli is detected in the urine, appropriate medications are recommended: antibiotics, bacteriophages. In addition, pathogenetic (usually infusion) and post-syndromic (in accordance with the manifestations) therapy are prescribed.
What drugs are recommended for infection?
If Escherichia coli is detected in the urine, antibiotic therapy should be prescribed in accordance with the antibioticogram of the isolated microorganism. As a rule, the sensitivity of Escherichia coli manifests itself to medicines from the fluoroquinolone group (Levofloxacin, for example), nitrofurans, Amoxicillin and others. The appointment of a particular medicine, dosage and regimen, as well as the duration of administration, are prescribed only by a specialist. It is highly not recommended to independently carry out therapy, as well as use antibiotics to prevent infections. Bacteriophages (coliprotein and others) are effective against E. coli of various types. The composition of a number of medicines contains specially obtained strains of the microorganism. Post-syndromic therapy with Escherichia coli in the urine is prescribed personally in accordance with the leading pathology syndrome.