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Escherichia
coli (E. coli) causes about 80% of bladder infections in adults.
These bacteria are normally present in the colon and may enter
the urethral opening from the skin around the anus and genitals.
Women may be more susceptible to bladder infections because
their urethral opening is near the source of bacteria (e.g.,
anus, vagina) and their urethra is shorter, providing bacteria
easier access to the bladder. Other bacteria that cause urinary
tract infections include Staphylococcus saprophyticus (5 to 15%
of cases), Chlamydia trachomatis, and Mycoplasma hominis. Men
and women infected with chlamydia trachomatis or mycoplasma
hominis can transmit the bacteria to their partner during sexual
intercourse, causing bladder infection.
Sexual
intercourse triggers bladder infections in some women, for
unknown reasons. Women who use a diaphragm develop infections
more often, and condoms with spermicidal foam may cause the
growth of E. coli in the vagina, which may enter the urethra.
Urinary
catheterization (small tube inserted into the bladder through
the urethra to drain urine) can also cause bladder infections by
introducing bacteria into the urinary tract. The risk for
developing a UTI increases when long-term catheterization is
required.
In
infants, bacteria from soiled diapers can enter the urethra and
cause bladder infections. E. coli may also enter the urethral
opening when young girls do not wipe from front to back after a
bowel movement.
Other
risk factors include the following:
-
Bladder
outlet obstructions (e.g., kidney stones, BPH)
-
Conditions
that cause incomplete bladder emptying (e.g., spinal cord
injury)
-
Congenital
(present at birth) abnormalities of the urinary tract
(e.g., vasicoureteral reflux)
-
Suppressed
immune system
-
Being
uncircumcised
-
Certain
blood types enable bacteria to attach more easily to cells
that line the urinary tract, causing recurrent UTIs.
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