Preventing and Treating Urinary and Ear Infections: A Guide for Summer Emergencies

2023-08-28 09:12:17

Las urinary and ear infections Are the most frequent pathologies in the service of Emergencies this summersince the greater contact with water and humidity, as well as the high temperatures that are being registered in the summer months cause a proliferation of bacteria, as indicated Carlos Barconesspecialist of the Emergency Department of the Hospital Quirónsalud Córdoba.

Barcones explained that, although these pathologies are not usually serious, they can be very annoying and painful and affect daily life, so it is advisable to try to prevent them and know how to act at the first symptoms. The cystitis is usually the more frequent urinary infection, especially in young women, and is characterized by being an infection caused by bacteria, which causes inflammation and pain in the bladder, accompanied by other symptoms such as pollakiuria, which is the need to urinate many times during the day, but in small quantities ; Urgency, which is the persistent feeling of wanting to urinate after having finished urination; and dysuria, pain during urination.

Las main causes of urinary tract infections are the sweata less fluid intake y keep wet swimsuit for a long period of time. These factors cause an alteration of the normal vaginal flora, favoring the proliferation and growth of pathogenic bacteria that pass to the bladder through the urethra. He origen of most urinary tract infections are microorganisms from the intestinal tractonly a minority are produced by environmental microorganisms.

To the bacteria Escherichia Coli, found in feces, andIt is responsible for between 70 and 90 percent of cases of infections, as indicated by Barcones. Less frequently, infection by other intestinal gram-negative bacilli (klebsiella, proteus) can occur, and in people with debilitating pathology or immunosuppression serratia or pseudomonas). Less frequently they are produced by fungi and yeasts, viruses and parasites.

Diagnosis is simple and fast

The doctor has stated that the diagnosis is performed “quickly and easily in the Emergency Department using a urinalysis with dipstickThis test, together with the patient’s symptoms, guides us towards the diagnosis, which must be confirmed through a urine culture. However, empiric antibiotic therapy should be started immediately.”

To avoid urinary tract infections, he has advised “increase fluid intake enough to produce two liters of urine in 24 hours, as long as it is not contraindicated by another medical condition.” It also helps to urinate more frequently (every two or three hours), not staying in a wet swimsuit, avoid sudden temperature changes, always dry from front to back and avoid constipation. Irritating products should not be used in the urogenital area, such as spermicides or vaginal showers, and the use of cotton underwear is recommended, in order not to alter the vaginal flora. It is essential to follow a adequate hydration and one feeding very much rich in fruits and vegetables.

According to the Spanish Society of Family and Community Medicine (Semfyc), the incidence of iUrinary tract infections is seasonal and reaches his peak in summer months, with a significant peak in the middle of the season. On days when the average weekly temperature is between 25 and 30 °C, the incidence of UTI increases by 20-30 percent compared to weeks with lower temperatures. Also, as temperatures rise, complications attributable to Urinary Tract Infections can increase.

Outer ear problems

Other frequent consultations during this summer are those related to external ear problems. According to Barcones “the appearance of external otitis is very typical during the summer season due, to a large extent, to the humidity maintained in the ear canal by both salt and fresh water, and also associated with small lesions that occur when using earplugs or by scratching, which cause the growth of bacteria in the area and ear skin infection.” The main symptom is he painabove all pressing and swallowing. “In the examination, it is essential for diagnosis to perform an otoscopy in order to observe the possible cause.”

To avoid these problems, the specialist recommends performing “a good ear drying without introducing any object or element inside the duct, prevent water from entering in the ear and No Smoking“. “Those people who remain in the water for hours can use specific cleaning and drying sprays or drops,” he detailed.

They are treatment implies the application of dry heat and cleaning of the external auditory canal, analgesic orally and the emergency physician will assess the possibility of topical antibiotic therapy in the form of eye drops. In the case of appearance of earwax (which can cause the same symptoms), it is important to administer softening drops in order to destroy it, which will later be extracted by the otolaryngologist in outpatient clinics.

This toilet recommends that “in the event of any of these symptoms you should go to the emergency departmentsince they are mild pathologies, easy to diagnose and treat, but without an adequate approach in time they can become very annoying”.

The Emergency Department of Hospital Quirónsalud Córdoba has the technology and specific circuits suitable for a multidisciplinary approach to these pathologies with direct communication with Urology and Otorhinolaryngology specialists if patient referral is necessary, as stated the company.

Although it may contain statements, data or notes from health institutions or professionals, the information contained in Redacción Médica is edited and prepared by journalists. We recommend to the reader that any health-related questions be consulted with a health professional.

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