Talk:Urinary tract infection/Archive 1

message: would culture, sensitvity,bacterial, urine be the same as a urinary tract infection? —Preceding unsigned comment added by 67.87.129.82 (talk • contribs)   04:24, 21 January 2004 
Well basically i try to go pee and its angry and red like a dinosaur. and i dont like it at all. i wish it would stop. i keep having anal sex to try and stop it but its not helping at all. thatsa makin me sada :*(  —Preceding unsigned comment added by 70.71.97.248 (talk) 02:35, 19 October 2007 (UTC)
replies: text: Cranberry juice or cranberry tablets and increased water intake have been used for a long time to treat UTIs and some people still swear by both.  Sarah Ewart (Talk) 21:09, 8 September 2006 (UTC)

text: The division seems entirely reasonable to me, but it's important that these have been suggested by others, and are not novel to Wikipedia. If none can be found, the division is still helpful, because it clearly identifies what needs to be removed. :-) Jakew 17:17, 31 October 2006 (UTC)
thread_title: Miscellany

message: The article states that this is found in lower urinary tract infections. I'm not an expert in this area, but I always thought proteinuria was indicative of kidney damage. Hence, it does not normally appear in lower UTIs. I'm removing it unless someone can give a reliable reference. M0rt (talk) 07:35, 25 May 2009 (UTC)
replies: text: Not sure to what you refer? Doc James (talk · contribs · email) (if I write on your page reply on mine) 18:55, 8 December 2013 (UTC)
thread_title:  Protein in urine 

message: JAMA - rational clinical examination. JFW | T@lk 18:51, 2 January 2008 (UTC)
thread_title:  Diagnosis in children 

message: in UTI are not of great quality  JFW | T@lk 23:45, 22 July 2008 (UTC)
thread_title:  Trials 

message: This article should include aspects of treatment beyond antibiotics. High fluid intake, with frequent voiding (urination) is essential. In addition, various nutritional interventions, such as a highly alkaline diet, reduce frequency, severity, and duration of infections. 99.11.6.189 (talk) 06:45, 29 June 2009 (UTC)
replies: text: We would need references for these.--Doc James (talk · contribs · email) 12:53, 12 April 2010 (UTC)
replies: text: The sharp improvement in recurrent UTIs noted with intravaginal estrogen is hypothesized to relate to the resulting naturally acidic vaginal environment being less habitable by E. coli and more favorable instead to acidophilus.  The probably healthy value of vaginal acidity give little reason to presume that an alkaline diet would be helpful.
There should be more information about why 100% cranberry juice is often suggested as a treatment for Urinary Tract Infections i.e. Tannins, being the key ingredient, help flush the urinary tract of infection. Tannins are also present in black tea which can be a more effective  option than cranberry juice due to the fact that the fructose found in cranberry juice is counterproductive by feeding the E. Coli bacteria. Another point that should be mentioned is that moving urine out in a forceful jet will expel more bacteria then if the flow of urine is slower. Julia.noelle (talk) 08:26, 17 August 2012 (UTC)
thread_title:  Treatment 

message: There is no mention of prophylactic application of antibiotic creams.  It would seem that topical application at or near the urinary meatus after coitus might be tied to the prevention of some urinary tract infections.  If so, such measures might have value, if not utilized frequently.  — Preceding unsigned comment added by Homebuilding (talk • contribs) 16:53, 8 June 2014 (UTC)
thread_title:  Prevention 

message: It says the reccomended dosage for ammoxicillin is 2-3mg. This can not be correct, my doctor perscribed 500mg.  —Preceding unsigned comment added by 173.19.33.54 (talk) 00:25, 27 July 2009 (UTC)
thread_title:  Ammoxicillin Dosage Correction 

message: This really lacks any real useful information about UTI in males.  —Preceding unsigned comment added by 130.234.5.138 (talk) 20:56, 7 May 2010 (UTC)
replies: text: Yes could us a section specifically on men. Doc James (talk · contribs · email) 04:25, 6 January 2011 (UTC)
thread_title:  For Men? 

message: My mother, 91 and with middle-stage Alzheimers, got rapidly worse over a period of just two weeks with a wide range of symptoms: great confusion and worsening cognitive ability, very poor mobility and coordination, loss of interest, loss of rationality, sleeping all day, hardly eating. The doctor thought it might have been a cardio-vascular episode but it just kept getting worse. A community matron suggested a urine test to "eliminate" UTI, which was the first mention of it. Hours later I called out paramedics as her knees had buckled and she was on the floor. They, and the various personal care helpers who came over the next few days, had no doubt whatever it was UTI-related, and all had seen patients "go into meltdown" caused by a UTI and then rapidly recover after antibiotics. I'm writing this on the third day after starting on amoxycillin, and she's starting to get back to the person she was before. Looking up Wiki to see more about this strange matter, and finding no mention of it, I thought it worth adding this to your pages: if the doctor who came 10 days ago had known, we would not have got into such a bad way. Bosnorth (talk) 12:41, 9 August 2010 (UTC)
replies: text: Yes I have not gotten around to address UTIs in special population.  But will at some point in time.  This is a common cause of confusion / weakness in the elderly.Doc James (talk · contribs · email) 23:17, 9 August 2010 (UTC)
thread_title:  Symptoms of dementia 

message: ===EPIDEMIOLOGY===
Urinary tract infections in children may be symptomatic or asymptomatic.  Symptomatic infections may be confined to the bladder (cystitis), or they may involve the upper collecting system (ureteritis, pyelitis), or extend into the renal parenchyma (pyelonephritis).  Age, gender, race, circumcision status, the method of detection and presentation all influence the prevalence of symptomatic versus asymptomatic urinary infection. 
Overall, the incidence of neonatal bacteriuria has been reported as 1 to 1.4 per cent. [Abbott, 1972; O’Dougherty, 1968; Littlewood et al, 1969]  The male-to-female ratio in infants is reversed from that seen in older children.  From a compilation of screening studies of healthy newborns reviewed by Stamey, 1.5 per cent of boys versus only 0.13 per cent of girls had bacteriuria. [Stamey, 1980]  However, the actual incidence of UTI during infancy has probably been underestimated in the past, partly because of the difficulty in diagnosing UTI in this age group.  In a three year prospective study of 3581 infants (aged 0 to 1 year) in Goteborg, Sweden, asymptomatic bacteriuria was confirmed by suprapubic aspiration of urine in 2.5 per cent of boys and 0.9 per cent of girls. [Jodal, 1987] Symptomatic urinary infection occurred equally often in both sexes (1.2 per cent of boys and 1.1 per cent of girls).  Overall, 3.7 per cent of boys and 2 per cent of girls had positive urine cultures during the first year of life.  The male predominance noted in the Goteborg study during the first few months of life has also been reported by others. [Ginsburg et al., 1982; Majd et al, 1991; Bergstrom et al, 1972; Drew et al, 1976] Uncircumcised infant boys are eight to ten times more likely to have symptomatic urinary infection as compared to their circumcised counterparts.  [Wiswell  et al, 1985] 
During preschool and school age, the male-to-female ratio observed in neonates is reversed making screening bacteriuria more prevalent in girls. [ Bergstrom et al, 1972; Drew et al, 1976]  (Table 1) In several large studies of school-age children the aggregate risk of screening bacteriuria has been reported to be 0.7-1.95 per cent of girls and 0.04-0.2 per cent of boys.  [Kunin, 1970; Savage, 1973; Saxena et al, 1974; Newcastle Group, 1975; Lindberg et al, 1975] However, in as many as one-third of these children a prior history of UTI or voiding symptoms could be elicited.  (Table 2) Based on an average annual incidence figure of 0.4 per cent, Kunin (1964) estimated that bacteriuria will develop in approximately 5 per cent of girls prior to graduation from high school. Additional data collected by Kunin (1970) revealed that infection will recur in up to 80 per cent of all white girls and 60 per cent of black girls within 5 years. [ Kunin, 1970] In a prospective population-based study of symptomatic UTI’s in children living in Goteborg, Sweden, Winberg et al estimated that the aggregate risk for symptomatic UTI up to age 11 was at least 3 per cent for girls and 1.1per cent for boys.  [Winberg et al, 1974]  In an update of a previous study, the incidence of culture documented UTI’s was twice as high as previously estimated, affecting 7.8 per cent of girls and 1.6 per cent of boys during the first six years of life. [Hellstrom et al, 1991]  To confirm these findings, Marild and Jodal recently performed a retrospective population based study of 41,000 children of Goteborg, Sweden. [Marild and Jodal, 1998] The cumulative incidence rate of symptomatic UTI’s was 6.6 per cent for girls and 1.8 per cent for boys. These data probably do not reflect an increasing incidence of urinary tract infections since the publication of the earliest report, but instead a greater detection rate.  In these epidemiologic studies, the incidence of febrile UTI’s was greatest in infant boys and girls as compared to children over 2 years of age.  Gender differences in the incidence rates of first time febrile and non-febrile UTI’s were most evident in children greater than two years old.  Girls greater than two years old were much more likely to present with first time UTI, both with and without fever, as compared to their age-matched male counterparts. (Figure 1, A and B) 
Once treated, infants with symptomatic urinary infections are at risk for recurrent infection (26 per cent), usually in the first 3 months of follow-up.  In older girls the risk for recurrence following symptomatic urinary infection is as high as 40-60 per cent within 18 months. This risk persists into adulthood. [Bergstrom et al, 1972]  In one study, sixty girls with childhood bacteriuria followed into adulthood (9 – 18 year follow-up) were compared with 38 non-bacteriuric controls. [Gillenwater et al, 1979] During pregnancy, a significantly greater incidence of bacteriuria was diagnosed in the group with the history of positive urine cultures in childhood (63.8 per cent) when compared to the controls (26.7 per cent).  Interestingly, the propensity for urinary infection persisted in the children born to bacilluric women, whereas none of the children born to healthy controls demonstrated urinary infection.
Further evidence supporting a lifelong risk for symptomatic urinary infection in individuals presenting during childhood is reported by the Goteborg Childhood UTI Research Group.  These authors followed 111 women with renal scarring or recurrent UTI’s.  Febrile UTI’s were more prevalent than non-febrile UTI’s during the first 10 years of life but continued to occur into the third decade.  Although the prevalence of febrile UTI’s diminished in adulthood, women with renal scarring during childhood were significantly more likely to have subsequent febrile UTI’s.  Overall, the median incidence of symptomatic UTI’s was 7 per individual.  [Martinell et al, 1990; Martinell et al, 1996]
 Doc James (talk · contribs · email) 21:18, 17 January 2011 (UTC)
replies: text: Thanks for moving, instead of just erasing.  
66.167.61.181 (talk) 01:40, 13 September 2011 (UTC)
thread_title: Moved here until rewritten to wiki standards

message: Urinary tract infections in children may be symptomatic or asymptomatic.  Symptomatic infections may be confined to the bladder (cystitis), or they may involve the upper collecting system (ureteritis, pyelitis), or extend into the renal parenchyma (pyelonephritis).  Age, gender, race, circumcision status, the method of detection and presentation all influence the prevalence of symptomatic versus asymptomatic urinary infection. 
Overall, the incidence of neonatal bacteriuria has been reported as 1 to 1.4 per cent. [Abbott, 1972; O’Dougherty, 1968; Littlewood et al, 1969]  The male-to-female ratio in infants is reversed from that seen in older children.  From a compilation of screening studies of healthy newborns reviewed by Stamey, 1.5 per cent of boys versus only 0.13 per cent of girls had bacteriuria. [Stamey, 1980]  However, the actual incidence of UTI during infancy has probably been underestimated in the past, partly because of the difficulty in diagnosing UTI in this age group.  In a three year prospective study of 3581 infants (aged 0 to 1 year) in Goteborg, Sweden, asymptomatic bacteriuria was confirmed by suprapubic aspiration of urine in 2.5 per cent of boys and 0.9 per cent of girls. [Jodal, 1987] Symptomatic urinary infection occurred equally often in both sexes (1.2 per cent of boys and 1.1 per cent of girls).  Overall, 3.7 per cent of boys and 2 per cent of girls had positive urine cultures during the first year of life.  The male predominance noted in the Goteborg study during the first few months of life has also been reported by others. [Ginsburg et al., 1982; Majd et al, 1991; Bergstrom et al, 1972; Drew et al, 1976] Uncircumcised infant boys are eight to ten times more likely to have symptomatic urinary infection as compared to their circumcised counterparts.  [Wiswell  et al, 1985] 
During preschool and school age, the male-to-female ratio observed in neonates is reversed making screening bacteriuria more prevalent in girls. [ Bergstrom et al, 1972; Drew et al, 1976]  (Table 1) In several large studies of school-age children the aggregate risk of screening bacteriuria has been reported to be 0.7-1.95 per cent of girls and 0.04-0.2 per cent of boys.  [Kunin, 1970; Savage, 1973; Saxena et al, 1974; Newcastle Group, 1975; Lindberg et al, 1975] However, in as many as one-third of these children a prior history of UTI or voiding symptoms could be elicited.  (Table 2) Based on an average annual incidence figure of 0.4 per cent, Kunin (1964) estimated that bacteriuria will develop in approximately 5 per cent of girls prior to graduation from high school. Additional data collected by Kunin (1970) revealed that infection will recur in up to 80 per cent of all white girls and 60 per cent of black girls within 5 years. [ Kunin, 1970] In a prospective population-based study of symptomatic UTI’s in children living in Goteborg, Sweden, Winberg et al estimated that the aggregate risk for symptomatic UTI up to age 11 was at least 3 per cent for girls and 1.1per cent for boys.  [Winberg et al, 1974]  In an update of a previous study, the incidence of culture documented UTI’s was twice as high as previously estimated, affecting 7.8 per cent of girls and 1.6 per cent of boys during the first six years of life. [Hellstrom et al, 1991]  To confirm these findings, Marild and Jodal recently performed a retrospective population based study of 41,000 children of Goteborg, Sweden. [Marild and Jodal, 1998] The cumulative incidence rate of symptomatic UTI’s was 6.6 per cent for girls and 1.8 per cent for boys. These data probably do not reflect an increasing incidence of urinary tract infections since the publication of the earliest report, but instead a greater detection rate.  In these epidemiologic studies, the incidence of febrile UTI’s was greatest in infant boys and girls as compared to children over 2 years of age.  Gender differences in the incidence rates of first time febrile and non-febrile UTI’s were most evident in children greater than two years old.  Girls greater than two years old were much more likely to present with first time UTI, both with and without fever, as compared to their age-matched male counterparts. (Figure 1, A and B) 
Once treated, infants with symptomatic urinary infections are at risk for recurrent infection (26 per cent), usually in the first 3 months of follow-up.  In older girls the risk for recurrence following symptomatic urinary infection is as high as 40-60 per cent within 18 months. This risk persists into adulthood. [Bergstrom et al, 1972]  In one study, sixty girls with childhood bacteriuria followed into adulthood (9 – 18 year follow-up) were compared with 38 non-bacteriuric controls. [Gillenwater et al, 1979] During pregnancy, a significantly greater incidence of bacteriuria was diagnosed in the group with the history of positive urine cultures in childhood (63.8 per cent) when compared to the controls (26.7 per cent).  Interestingly, the propensity for urinary infection persisted in the children born to bacilluric women, whereas none of the children born to healthy controls demonstrated urinary infection.
Further evidence supporting a lifelong risk for symptomatic urinary infection in individuals presenting during childhood is reported by the Goteborg Childhood UTI Research Group.  These authors followed 111 women with renal scarring or recurrent UTI’s.  Febrile UTI’s were more prevalent than non-febrile UTI’s during the first 10 years of life but continued to occur into the third decade.  Although the prevalence of febrile UTI’s diminished in adulthood, women with renal scarring during childhood were significantly more likely to have subsequent febrile UTI’s.  Overall, the median incidence of symptomatic UTI’s was 7 per individual.  [Martinell et al, 1990; Martinell et al, 1996]
 Doc James (talk · contribs · email) 21:18, 17 January 2011 (UTC)
replies: text: Thanks for moving, instead of just erasing.  
66.167.61.181 (talk) 01:40, 13 September 2011 (UTC)
thread_title: EPIDEMIOLOGY

message: RECURRENT
I have seen not only here the phrase "effective treatment can also be delivered over the phone" which is meaningless, unfortunately I have no access to the full study but only to the abstract, someone who has might correct it and make it meaningful? --Sandribus (talk) 11:00, 15 June 2011 (UTC)
thread_title: Recurrent

message: In a Nov. 2010 set of guidelines entitled:
Recurrent Urinary Tract Infection
The first recommendation in the report, page one, addresses not a recurrence but the first presentation of symptoms: 
:"Recommendations
:1. Urinalysis and midstream urine culture and sensitivity should be performed with the first presentation of symptoms in order to establish a correct diagnosis of recurrent urinary tract infection. (III-L)"  
:"SOGC CLINICAL PRACTICE GUIDELINE
:... 
:This document reflects emerging clinical and scientific advances on the date issued and is subject to change. ...  
66.167.61.181 (talk) 01:45, 13 September 2011 (UTC)
thread_title: Urinalysis and midstream urine culture and sensitivity upon first presentation of symptoms

message: *
*
*
*
Doc James (talk · contribs ·email) 04:24, 6 January 2011 (UTC)
thread_title: Reviews

message: Doc James (talk · contribs · email) 21:47, 5 March 2011 (UTC)
replies: text: Updated Cochrane Doc James (talk · contribs ·email) 19:36, 8 March 2011 (UTC)
replies: text: A review looking at recurrent UTIs  --Doc James (talk · contribs · email) 14:02, 25 November 2011 (UTC)
thread_title: New 2011 Guideline

message: One thing that really bothers me is the 2nd sentence in this article: "When it affects the lower urinary tract it is known as a bladder infection and when it affect the upper urinary tract it is known as pyelonephritis." It sounds a bit silly to use the lay term for one and the medical term for the other. Could "cystitis (bladder infection)" work? Watermelon mang (talk) 22:45, 26 January 2012 (UTC)
replies: text: Sure. --Doc James (talk · contribs · email) 18:47, 27 January 2012 (UTC)
thread_title: Opening paragraph

message: The "Treatment" section requires a total rework. Even though it lists numerous references, it is severely flawed; almost to the point of being incoherent. First, phenazopyridine (a.k.a. Pyridium) should be described as "being occasionally prescribed during the first few days of antibiotic/antibacterial treatment to help relieve the symptoms of urinary discomfort, burning, and the urinary urgency sometimes encountered during a UTI." 
::Agree and we worded Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:15, 17 August 2012 (UTC)
replies: text: Do you have a reference for that? I have not heard of the stuff.Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:15, 17 August 2012 (UTC)
replies: text: The link is here http://books.google.ca/books?id=4uKsZZ4BoRUC&pg=PA271 and works in my area of the world. The book was published in 2010. Have never come across this concern within the ER literature. The ref specifically deals with pylonephritis. Are there refs supporting it harm?Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:15, 17 August 2012 (UTC)

text: Hey Joseph. Great to see you. Let make changes to it will the text is in place. If you have trouble getting access to sources am happy to send some to you. Doc James (talk · contribs · email) (if I write on your page reply on mine) 11:15, 17 August 2012 (UTC)
thread_title:  Treatment - redux

message: I updated some terminology to make some clarifications. In the world, 70% of men are intact (i.e. have a foreskin). Therefore, there is no such thing as "uncircumcised". There is a "man" and a "circumcised man". The same is true for women. In this article, a risk factor is "female anatomy". Likewise, a risk factor for male UTI is "male anatomy". I also made a change from "uncircumcised" to "intact" in the text. Saying "uncircumcised" implies that it is not the normal case; since most men are intact, we must refer to men the way we refer to women. We would NEVER say "uncircumcised" (i.e. Type II FGM) as a risk factor for females. Crimsoncorvid (talk) 01:33, 26 August 2012 (UTC)
replies: text: We use the terminology used by the cited sources, not the preferred terminology of individual Wikipedia editors. Yobol (talk) 01:44, 26 August 2012 (UTC)
replies: text: The terminology "uncircumcised" imparts bias. Is bias important to avoid? There are many sources that use "intact". We should strive for correctness. Crimsoncorvid (talk) 01:53, 26 August 2012 (UTC)
replies: text: We strive for neutrality. In this case, neutrality would require us to use the terminology of our sources (the ones used in this article). Yobol (talk) 01:54, 26 August 2012 (UTC)
replies: text: Use of a weasel word is not neutral. Crimsoncorvid (talk) 05:20, 5 February 2013 (UTC)
thread_title:  Terminology clarification 

message: Hey Doc James, I thought I would add the 'Alt med' stuff from the general paragraph into the 'Alt Med' Section that I created, rather than vice-versa, but I got caught-up with RL work before I got a chance. My personal opinion is that I kind of like the organization with headings..... Do you prefer it without the headings? or is that just what resulted from combining the 2 discussions regarding cranberry products? I am not convinced either way is better than the other, but as there is a section for medication and for Children, it seems Alt Med makes another logical category? Thoughts? Puhlaa (talk) 23:50, 25 November 2012 (UTC)
replies: text: Sure and done. It was just that we had this content twice. Simply wished to combine it. Doc James (talk · contribs · email) (if I write on your page reply on mine) 23:54, 25 November 2012 (UTC)
replies: text: Great! Puhlaa (talk) 00:00, 26 November 2012 (UTC)
thread_title: Cranberry Products

message: I have a question about the wording of these two sentences. The first sentence states: "A urinary tract infection (UTI) is a bacterial infection that affects part of the urinary tract." To me, this is stating UTI=bacterial infection. While this is MOSTLY true, as the last sentence states: "The main causal agent of both types is Escherichia coli, however other bacteria, viruses or fungi may rarely be the cause." To me, stating that a UTI is a bacterial infection, then having a later statement say that E. Coli is the main cause, but there are other causes, some of which are non-bacterial, is a bit of a contradiction and possibly confusing to someone who isn't used to medical issues. Not everyone realizes that antibiotics will not treat a viral infection, and so while I know that a UTI is generally caused by bacterial, viral and fungal infections are possible, a person who does not know that they are different might be confused. As I read the article, I found it well written but something was just telling me to go back and read the lead paragraph again.  Is this something that should be reworded, possibly stating something such as: "A urinary tract infection (UTI) is an infection of the urinary tract that is commonly caused by the Escherichia coli bacteria; however, other bacteria, as well viruses or fungi may also be the cause of infection." Or if that is too wordy (and I think it might be), another possibility could be: "A urinary tract infection (UTI) is an infection of the urinary tract that, while commonly caused by Escherichia coli bacteria, may also be caused by other bacteria, viruses or fungi." I don't know if others see it as I do though. 
WayneyP (talk) 04:26, 14 December 2012 (UTC)
replies: text: Thanks agree and will fix. Doc James (talk · contribs · email) (if I write on your page reply on mine) 05:24, 14 December 2012 (UTC)
thread_title: First and last sentences of the lead paragraph 

message: As a male sufferer of UTI, I swear by drinking cranberry juice as was recommended by a doctor, and the NHS.
http://www.nhs.uk/conditions/Urinary-tract-infection-adults/Pages/Introduction.aspx
2.30.188.195 (talk) 08:39, 22 January 2013 (UTC)
replies: text: We already discuss it. Doc James (talk · contribs · email) (if I write on your page reply on mine) 08:50, 22 January 2013 (UTC)
thread_title:  Cranberry juice 

message: There do not seem to be any RCTs on the use of male circumcision to prevent UTIs in males. I do not have access to the original source, but I am doubtful that the current source backs up the claim that being "uncircumcised" is a risk factor for UTIs in infant males. See http://www.ncbi.nlm.nih.gov/pubmed/23152269 . Also, the word "uncircumcised" is a weasel word that promotes the viewpoint that "circumcised" is normal. Being circumcised is not normal worldwide (e.g. 70% of males are intact). I am aware that sources use it. The sources are incorrect in the use of this term. We NEVER refer to women as "uncircumcised". Why men? Wikipedia should not be hamstrung by the bias of sources. Crimsoncorvid (talk) 05:18, 5 February 2013 (UTC)
replies: text: Source actually completely supports the content in question. Wikipedia is not the place to change the world. We only reflect the best available evidence. Doc James (talk · contribs · email) (if I write on your page reply on mine) 04:04, 9 February 2013 (UTC)
replies: text: I guess the source isn't an RCT then? Crimsoncorvid (talk) 05:06, 9 February 2013 (UTC)
replies: text: Prevention and risk factor are separate. The article does not state circ is effective for prevention. Only that groups who are uncirc have higher risks. Doc James (talk · contribs · email) (if I write on your page reply on mine) 05:11, 9 February 2013 (UTC)
replies: text: So it's OK to justify this claim with only one study that's not an RCT? They don't allow statements like that on the circumcision page. It seems like editors have different standards for what's appropriate. Furthermore, it is my understanding that the study referenced did not properly control for babies who were forcibly retracted (which increases the UTI risk). Is there a quality study that controls for all variables? Crimsoncorvid (talk) 05:43, 9 February 2013 (UTC)
replies: text: It is not a study that supports it but a review article. Have added the conclusions of the Cochrane review. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:25, 9 February 2013 (UTC)
replies: text: Thanks for making the change! Crimsoncorvid (talk) 12:36, 9 February 2013 (UTC)
thread_title:  UTIs in infant males 

message: Please do not make undo action to remove file added by me.As this file is most relevant here to understand the mai article , what constitutes urinary tract elements.Moreover it depicts where in bodu these elements are located.This file has nowhere else used in en.wiki .To argue that it is used in subpage and delete it, is not a good decision.I have again undone action done by another user.--Guglani (talk) 06:16, 6 September 2013 (UTC)
replies: text: I agree with Doc James that the images do not belong on this article, so removed them.  This article is about UTIs, readers who want an overview of the locations of the components of the Urinary system can see the (better) images at that article through the Wikilinks. Zad68 12:35, 6 September 2013 (UTC)
replies: text: We need to keep this article focused on the subject at hand. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:39, 6 September 2013 (UTC)
replies: text: Please remember wiki articles are for commoners and not for specialists who can search a topic for some information any where with google or wiki links for finding relevant information.then what is the need for this article at all if one has to search relevant information here and there.in my opinion still image is most relevant here, but I have not made any revert further for wiki community to decide.--Guglani (talk) 00:32, 7 September 2013 (UTC)
replies: text: If pneumonia had an overview of the respiratory system and MS an overview of the nervous system in the lead our articles would become a mess. Doc James (talk · contribs · email) (if I write on your page reply on mine) 01:52, 7 September 2013 (UTC)
replies: text: A wiki link to urinary tract  in  this article leads to article on urinary system, image included there shows blood vessels as part of system and this link is confusing to define urinary tract and its location in body for a commoner.will you please consider writing a separate article for urinary tract for better understanding of UTI to a commoner and not a doctor . I leave it to my friend to include this macro level image there or not.Further I have seen at many places on web an article on UTI includes a macro level image of Urinary Tract for better reading there about uretra and other elements of Urinary Tract.--Guglani (talk) 11:32, 7 September 2013 (UTC)
replies: text: Yes urinary system could use a section on urinary tract. Have added one of the pictures. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:20, 7 September 2013 (UTC)
thread_title: About file:Urinary tract

message: JAMA clinical evidence synopsis - doi:10.1001/jama.2013.277509. JFW | T@lk 11:58, 2 October 2013 (UTC)
thread_title:  Cranberry juice 

message: Why isn't d-Mannose listed as a treatment? A quick search on google for d-mannose "Urinary_tract_infection"|cystitis returns 33,200 results! 67.206.163.33 (talk) 04:10, 31 December 2013 (UTC)
replies: text: Please read WP:MEDRS and if you have an appropriate ref we can look at commenting on it. Doc James (talk · contribs · email) (if I write on your page reply on mine) 08:11, 31 December 2013 (UTC)
thread_title:  d-Mannose 

message: Common issue in primary care and geriatrics. doi:10.1001/jama.2014.303 (JAMA) JFW | T@lk 13:35, 28 February 2014 (UTC)
thread_title:  Elderly women 

message: UTI PATIENT CAN TRANSFER SICKNESS TO OTHERS?  — Preceding unsigned comment added by 2.50.154.15 (talk) 14:56, 14 August 2014 (UTC)
thread_title:  UTI PATIENT CAN TRANSFER SICKNESS TO OTHERS? 

message: "In post-menopausal women, sexual activity does not affect the risk of developing a UTI."
I can't imagine why this statement is here. I'm pretty sure it isn't true. It reads as if sexual activity would not affect the risk of developing UTI in post-menopausal women because they aren't having any. This for certain isn't true.  — Preceding unsigned comment added by Dorthanne (talk • contribs) 04:04, 15 September 2014 (UTC)
thread_title:  post menopausal UTI 

message: doi:10.1001/jama.2014.12842 - JAMA. JFW | T@lk 09:14, 22 October 2014 (UTC)
thread_title:  Review 

message: Not seeing where the ref supports this content?
"Diabetics have a high risk for a couple of reasons: First, higher glucose levels in urine create a more hospitable environment for bacteria, and second, some side effects of diabetes, such as nephropathy, create problems emptying the bladder." Doc James (talk · contribs · email) 04:36, 1 December 2014 (UTC)
thread_title: Ref?

message: This article is not about LUTS but about UTIs. We should also be using secondary sources not primary sources per WP:MEDRS. We should also be using sources from the last 10 years at least, 1985 is a little old. Also some of the content is already covered earlier in the article with better sources.
Doc James (talk · contribs · email) 05:14, 2 December 2014 (UTC)
replies: text: Hi, . Thanks for initiating a conversation! I'm the campus ambassador for this class and am in discussion with User:Pumpkinravioli off-wiki.Megs (talk) 20:25, 1 December 2014 (UTC)
replies: text: Great would be good to have them join this discussion. Their other edits used better sources. Doc James (talk · contribs · email) 05:14, 2 December 2014 (UTC)
replies: text: Hi, . Thank you for your input. Looking at it now I agree that LUTS is outside the scope of this article. I have found more recent review articles and using them I will be making edits. Please refer to my sandbox if you would like to see my progress. Pumpkinravioli (talk) 21:51, 3 December 2014 (UTC)
replies: text: Please make sure you read the article before adding more content. We do discuss the role of sexual activity here  Doc James (talk · contribs · email) 00:48, 4 December 2014 (UTC)
thread_title: Moving here for discussion

message: Doc James (talk · contribs · email) 02:30, 31 January 2015 (UTC)
thread_title: Review

message: In 2011 United States patent 8,063,026 was granted for "Method of palliating lower urinary tract infections by treatment with mannan oligosaccharides". A published peer reviewed study documented the efficacy and safety of this method. This patent has been reduced to practice under the trade name SuperMannan.  Clair Brown, Richard Katz and Michael McCulloch. ’Yeast Mannan Oligosaccharide Dietary Supplement In the Treatment of Chronically Acute Urinary Tract Infections: A Case Series’ UroTodayInternational Journal, Published June 27, 2012.United States Patent and Trademark Office "Method of palliating lower urinary tract infections by treatment with mannan oligosaccharides" US 8063026 B2
COMMENTS INVITED any comments, in addition to beige box edit request
Richard8081 (talk) 05:34, 17 August 2015 (UTC)
replies: text: A mentioned we should use high quality secondary sources not primary sources. Doc James (talk · contribs · email) 21:00, 17 August 2015 (UTC)

text: generally yes.  unless there are review articles published in the biomedical literature that discuss this product.  are there? Jytdog (talk) 09:37, 20 August 2015 (UTC)
replies: text: Sounds like we should wait for the literature to discuss it more than. Doc James (talk · contribs · email) 04:25, 22 August 2015 (UTC)

text: No. Please see your talk page. Jytdog (talk) 13:03, 22 August 2015 (UTC)
replies: text: If it has not been combined into a secondary or tertiary source we do not consider it notable enough for inclusion into Wikipedia. Doc James (talk · contribs · email) 17:00, 22 August 2015 (UTC)
thread_title:  Content suggested by Richard Katz = richard8081 

message: Cystitis means inflammation of the bladder, and while it's often caused by a bladder infection, it doesn't have to be.  So could we have an actual Cystitis page which doesn't redirect here, and also fix this page where it says cystitis IS bladder infection Hammerfrog (talk) 11:04, 22 March 2016 (UTC)
replies: text: Cystitis is indeed used to mean bladder infection even though the Latin terminology simply means bladder inflammation. Doc James (talk · contribs · email) 11:29, 22 March 2016 (UTC)
replies: text: How a word is used and what it means are two different things.  If Cystitis just means UTI, then explain the easy to find phrase "Cystitis without infection"?  Hammerfrog (talk) 12:41, 25 March 2016 (UTC)
replies: text: Yes that is "interstitial cystitis". When one uses the term cystitis without qualitifications it generally means simple cystitis or a bladder infection. Doc James (talk · contribs · email) 12:51, 25 March 2016 (UTC)
thread_title:  Cystitis doesn't mean Urinary tract infection 

message: In the "Treatment" section, information should be added about what outcomes may be expected if the patient chooses to not undergo any treatment (i.e., chooses not to take antibiotics for her/his UTI). Mksword (talk) 18:20, 27 October 2016 (UTC)
replies: text: We already say "About 50% of people will recover without treatment within a few days or weeks." Doc James (talk · contribs · email) 22:44, 27 October 2016 (UTC)
replies: text: OK, thank you. I didn't see that. Mksword (talk) 06:59, 28 October 2016 (UTC)
replies: text: What happens to the other half?  Went looking for sources briefly yesterday.  Would like to add that. Jytdog (talk) 16:56, 28 October 2016 (UTC)
thread_title:  What if the patient chooses to not undergo any treatment? 

message: Hello,
Could we please add a stress to the point that bacteriuria is entirely normal in the context of the catheterised bladder.  This is in an effort to reduce antimicrobial prescribing for asymptomatic patients on the basis of a positive urine dipstick test.  — Preceding unsigned comment added by Chadler69 (talk • contribs) 11:00, 26 June 2017 (UTC)
thread_title:  Bacterial colonisation of the catheterised bladder 

message: Add information on this pathogen in the cause section please.
Its pathogenesis is frequently reported.
 
109.206.156.72 (talk) 21:20, 3 July 2017 (UTC)
replies: text: Which ref should we use? Doc James (talk · contribs · email) 05:17, 6 July 2017 (UTC)
thread_title:  [[Acinetobacter]] infection 

message: There are several promising alternative treatment options:
1) Mannosides
2) Vaccines
3) Destruction of bacterial biofilms
4) Anti-inflammatory drugs
more here with sources: https://www.stoputiforever.com/treatment/5-uti-treatment-research-trends-2017-2018/  — Preceding unsigned comment added by Avisotsky (talk • contribs) 23:36, 7 July 2017 (UTC)
thread_title:  Add more information in Alternative treatment options  

message: this edit is in regards to the prevention of childhood UTIs. 
There is good evidence that prophylactic antibiotic prevent recurrent UTIs. The RIVUR study is a double blinded placebo controlled trial where children were randomized to Bactrim versus placebo. Patient receiving the low dose antibiotic daily had half as many UTI's as those in the placebo group. Renal scarring rates were similar in both groups. https://www.nejm.org/doi/full/10.1056/NEJMoa1401811 Tgaither07 (talk) 00:32, 2 May 2018 (UTC)
replies: text: Not done: it's not clear what changes you want to be made. Please mention the specific changes in a "change X to Y" format and provide a reliable source if appropriate. JTP (talk • contribs) 02:19, 2 May 2018 (UTC)
replies: text: Please see WP:MEDRS for sourcing. Doc James (talk · contribs · email) 04:22, 2 May 2018 (UTC)
thread_title:  Semi-protected edit request on 2 May 2018 

message: "About 150 million people developed a urinary tract infection each year."
Developed? When? Does this mean the number has changed recently? 93.136.3.190 (talk) 02:33, 22 June 2018 (UTC)
replies: text: Sure adjusted Doc James (talk · contribs · email) 17:41, 16 September 2018 (UTC)
thread_title:  A strange sentence 

message: This "young sexually active women" is a common term used. Typically no absolute age range is applied to this, as this is simple common English.
Per "A predisposition for bladder infections may run in families". Yes this is believed to be due to genetics. 
The Jagannath article comments on being uncircumcised being a risk factor. Basically how this is determined is a population of people circ and those not circ are looked at and the rates of UTIs in these two populations are determined. 
The reason they came to the conclusion that they did is here "We were unable to identify any randomised controlled trials on the use of routine neonatal circumcision". No one has studied this is a randomized controlled trial because, well seriously what parent would sign their kid up for this?  Doc James (talk · contribs · email) 17:49, 16 September 2018 (UTC)
thread_title: Terminology

message: === Healthcare providers seek effective and safe alternatives for preventing recurrent UTIs in wake of widespread antibiotic issues ===
The newest clinical guidelines for the management of recurrent uncomplicated urinary tract infections (UTIs) further validate the trailblazing efforts of urinary tract supplements like ellura. These supplements contain an ingredient called 
proanthocyanidins (PAC), the bioactive ingredient from cranberry responsible for preventing bacterial adhesion to the bladder and its subsequent role in UTI prophylaxis, as referenced in the American Urological Association’s (AUA) Guidelines. The recommendations cite the importance of validating PAC type, dosage and concentration to substantiate effectiveness.
The AUA’s endorsement of cranberry as the only non-antibiotic prophylactic option for the management of recurrent UTIs is significant in light of widespread antibiotic issues impacting patients and healthcare providers. UTIs account for up to 60% of antibiotic prescriptions3, a “treat and repeat” cycle that has been associated with overuse, adverse events and bacterial resistance. In clinical trials, 36 mg of bioactive PAC, constituted an effective alternative to prophylactic antibiotics for UTI prevention, without the associated drawbacks.
Despite many proposed interventions to alleviate the large economic and clinical burden of UTIs on patients, providers, and the healthcare system, incidence rates have remained high. These supplements can be easily incorporated into practice as a proven non-antibiotic intervention that aids in reducing UTI recurrence and supports best practices for driving optimal antibiotic stewardship and prescribing protocols.
https://www.auanet.org/guidelines/recurrent-uti
Amy B. Howell, Henry Botto et al. BMC Infectious Diseases 2010, 10:94
Chughtai B, et al. Variability of commercial cranberry products. AJOG, 2016:215:1.
Fleming-Dutra Ke, et al. Prevalence of inappropriate antibiotic prescriptions among U.S. ambulatory care visits 2010-11. JAMA 2016;315:1864
Uberos J, et al. Open Access Journal of Clinical Trials 2012:4:31-38.
Botto H. Effectiveness of a cranberry. Scand J Urol Nephrol 2010;44:165-168
SethMohs (talk) 19:25, 25 June 2019 (UTC)
thread_title:  New guidelines cite benefits of cranberry proanthocyanidins (PAC) for UTI prophylaxis 

message: The newest clinical guidelines for the management of recurrent uncomplicated urinary tract infections (UTIs) further validate the trailblazing efforts of urinary tract supplements like ellura. These supplements contain an ingredient called 
proanthocyanidins (PAC), the bioactive ingredient from cranberry responsible for preventing bacterial adhesion to the bladder and its subsequent role in UTI prophylaxis, as referenced in the American Urological Association’s (AUA) Guidelines. The recommendations cite the importance of validating PAC type, dosage and concentration to substantiate effectiveness.
The AUA’s endorsement of cranberry as the only non-antibiotic prophylactic option for the management of recurrent UTIs is significant in light of widespread antibiotic issues impacting patients and healthcare providers. UTIs account for up to 60% of antibiotic prescriptions3, a “treat and repeat” cycle that has been associated with overuse, adverse events and bacterial resistance. In clinical trials, 36 mg of bioactive PAC, constituted an effective alternative to prophylactic antibiotics for UTI prevention, without the associated drawbacks.
Despite many proposed interventions to alleviate the large economic and clinical burden of UTIs on patients, providers, and the healthcare system, incidence rates have remained high. These supplements can be easily incorporated into practice as a proven non-antibiotic intervention that aids in reducing UTI recurrence and supports best practices for driving optimal antibiotic stewardship and prescribing protocols.
https://www.auanet.org/guidelines/recurrent-uti
Amy B. Howell, Henry Botto et al. BMC Infectious Diseases 2010, 10:94
Chughtai B, et al. Variability of commercial cranberry products. AJOG, 2016:215:1.
Fleming-Dutra Ke, et al. Prevalence of inappropriate antibiotic prescriptions among U.S. ambulatory care visits 2010-11. JAMA 2016;315:1864
Uberos J, et al. Open Access Journal of Clinical Trials 2012:4:31-38.
Botto H. Effectiveness of a cranberry. Scand J Urol Nephrol 2010;44:165-168
SethMohs (talk) 19:25, 25 June 2019 (UTC)
thread_title:  Healthcare providers seek effective and safe alternatives for preventing recurrent UTIs in wake of widespread antibiotic issues 

message: EColi is 75% followed by K pneumoniae, S saprophyticus, and Enterococcus. Proteus is only 2%. Belongs in the body. Doc James (talk · contribs · email) 07:27, 19 December 2019 (UTC)
thread_title: Organize imvolved

message: Thanks Medhekp (talk) 17:42, 25 January 2021 (UTC)
thread_title:  Can someone make Pyelonephritis under Complicated in the treatment chapter? 

message: Can someone make Pyelonephritis under Complicated in the treatment chapter? Medhekp (talk) 17:44, 25 January 2021 (UTC)
thread_title:  Semi-protected edit request on 25 of January 

message: MoinTheQueen (talk) 13:41, 28 May 2021 (UTC)
replies: text: Not done: it's not clear what changes you want to be made. Please mention the specific changes in a "change X to Y" format and provide a reliable source if appropriate. ScottishFinnishRadish (talk) 14:19, 28 May 2021 (UTC)
thread_title:  Semi-protected edit request on 28 May 2021 

message: — Preceding unsigned comment added by Avisotsky (talk • contribs) 23:31, 7 July 2017 (UTC)
replies: text: That article presents zero evidence for those claims. In particular, given that urine is not sterile (contrary to what the article states), is there much reason to believe that sugar or holding urine would encourage the growth of pathogenic species in particular? Uncontrolled diabetes impairs immune function, which sounds like a more plausible explanation for the increased risk of infection. As for holding urine, I don’t know of any evidence that urinating more often reduces the risk, in fact there is tentative evidence that it doesn’t. The article contains other doubtful advice such as the debunked advice on cranberry juice. Spidermario (talk) 11:21, 12 June 2021 (UTC)

text: This article contains other proven advice such as the recently proved cranberry juice* BruhtatoChips (talk) 14:48, 28 April 2023 (UTC)
thread_title:  Add causes for UTI categorized for easier understanding