Urinary tract infections (UTI) are one of the most common infectious diseases, primarily caused by bacteria present in the intestinum, affecting the entire urinary tract or only a part of it. If the urinary bladder and urethra are affected then they are considered "lower" urinary tract infections, and the affected kidneys and ureter are considered "upper" urinary tract infections. There is a division into uncomplicated and complicated UTIs. Approximately 15% of all prescribed antibiotics in the United States are prescribed as therapy of UTIs. The UTI data from other countries are similar. The costs incurred in the treatment of these infections are significant -in the United States, the direct costs of UTI treatments are estimated at $ 1.6 billion per year.KEYWORDS: infections, urinary tract, bacteria
PATHOGENESIS OF URINARY TRACT INFECTIONSThe urinary tract has a normal defense mechanism that protects it from infections. Urine is an adverse environment for bacterial growth due to low pH, high urea concentration, presence of organic acids, and high osmolarity. The bladder has bactericidal properties and creates an immunoglobulin A that reduces bacterial adherence to the uroepithelium. There are differences in the general and local resistance of the host to the urinary tract infections. This is the reason why some children get sick once or never, while in others the infections are often repeated, in a lighter or more severe form. The most important mechanism of defense against urinary tract infections is normal urodynamics. The disorder leads to urinary retention and the production of residual urine in which the bacteria multiply smoothly. These disorders lead to obstruction of the urinary