Bactedal Replacements on Urinalry Tract Infections

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Other Title
  • 尿路感染症の菌交代現象
  • ニョウロ カンセンショウ ノ キン コウタイ ゲンショウ ソノ リンショウテキ コウサツ
  • -Especially on Clinical Observations-
  • その臨床的考察

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Bacterial replacements are an important cause of prevention from recovery from urinary tract infections.<br>For discovering the cause, 42 cases of urinary tract infection which have been treated for recent 2 years and bacterial replacements were occured more than three times were studied clinically and bacteriologically.<br>1. There were many male cases in the sixth and seventh decade.<br>2. The underlying illness was found in 90% and 63% of them received surgery for prostate-hypertrophy.<br>3. The patients accompanying the other illness were found in 62%, in which the illnesses of the cardiovascular system and diabetes mellitus are note worthy.<br>4. on the biochemical examinations of hosts, the cases indicated lower AG ratio were 42%, for which the increase of globulin may have an important role to do.<br>5. The bacterial replacements were frequently found on the cases who had obstruction of urogenital system by operations, used catheters long after the operations or had the system changed with tumor, etc. But in younger ages there were a few cases without those conditions.<br>6. The bacterial genera on the bacterial replacement were the same as that on urinary tract infections, especially on cross infections.<br>7. On the order of the bacterial replacement on those genera there was no rule, but there were relatively more mix-infection, especially mixed with bacilli and cocci.<br>8. There was no relationship between the sorts of used antibiotics and the replacing bacterial genera. When antibiotics were not used, there were less bacterial replacement.<br>9. There are still more unknown factors about the cause of the bacterial replacement on the cases without the mechaaism of retrograde urinary infection, about the cause that bacteria are cultured again and again despite of the sensitive antibiotics are used, and about the other true cause of the bacterial replacement.

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