title: Problems in the treatment of urinary infections caused by Streptococcus agalactiae.
abstract: Authors have investigated the therapeutic problems in urinary infections caused by Streptococcus agalactiae in men and nonpregnant women. It is obvious from the literature that this problem has been considered mainly in pregnant women. On the basis of 86 patients (67 women and 19 men aged 14 to 81 years) it was established that the in vitro sensitivity of this Streptococcus was high (above 95%) to ampicillin, augmentin, cephalothin, lincomycin, chloramphenicol and erythromycin and 100% to rifampicin. For a successful treatment it is of great importance to establish the presence or lack of reservoirs of this infection (vagina, urethra, gastrointestinal tract). Mono- and combined antibiotic therapy was applied, as well as local treatment with vaginal lavages. Successful treatment is guaranteed by a thorough examination, identification of infection foci, including those outside the urinary system and choice of adequate individual approach to the patient. These variants are presented in detail.
authors.affiliation: Department of Microbiology, Emergency Medical Institute, N.I. Pirogov, Sofia, Bulgaria.
authors.forename: B
authors.initials: B
authors.lastname: Zozikov
authors.forename: B
authors.initials: B
authors.lastname: Girgitzova
authors.forename: N
authors.initials: N
authors.lastname: Minkov
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000667:Ampicillin / Q000627:therapeutic use; D000892:Anti-Infective Agents, Urinary / Q000627:therapeutic use*; D002031:Bulgaria / Q000453:epidemiology; D002511:Cephalosporins / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010406:Penicillins / Q000627:therapeutic use; D013290:Streptococcal Infections / Q000188:drug therapy* / Q000453:epidemiology; D013292:Streptococcus agalactiae / Q000302:isolation & purification*; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*
chemical_list: D000892:Anti-Infective Agents, Urinary; D002511:Cephalosporins; D010406:Penicillins; D000667:Ampicillin