Cystitis is a common problem; more than half the women in Britain suffer from it at some time in their lives. The cause of the disease is a bacterial infection of the bladder, the germs having entered the urethra and ascended into the bladder. The most common organism responsible is called Escherichia coli. This organism normally lives in the bowel where it causes no harm. It is therefore likely to be present on the skin around the anus so that there is always a potential for infection. The disease is much more common in women because the urethra, vagina and anus are very close together and the urethra is much shorter in the female than it is in the male. It also explains why women commonly suffer cystitis after sexual intercourse and honeymoon cystitis is a very common presentation of bladder in?ammation. In most cases the in?ammation is more of a nuisance than a danger but the infection can spread up to the kidneys and cause PYELITIS which is a much more serious disorder.
In cases of cystitis the urine should be cultured to grow the responsible organism. The relevant antibiotic can then be prescribed. Fluids should be taken freely not only for an acute attack of cystitis but also to prevent further attacks, because if the urine is dilute the organism is less likely to grow. Bicarbonate of soda is also helpful as this reduces the acidity of the urine and helps to relieve the burning pain, and inhibits the growth of the bacteria. Careful hygiene, in order to keep the PERINEUM clean, is also important. (See URINARY BLADDER, DISEASES OF.)... cystitis
Habitat: Moist meadows and pasture land.
Features ? The stem. growing up to three feet, is branched, furrowed, and downy above; egg-shaped, serrate leaves embrace the stem. The calyx is also egg-shaped and leafy, and the flowers, blooming in July and August, are large, solitary and terminal, brilliantly yellow in colour. The root is light grey, hard, horny and cylindrical. The whole plant is similar in appearance to the horseradish, its taste is bitter and acrid, and the odour reminiscent of camphor.Part used ? Root.Action: Diaphoretic, expectorant and diuretic.
In combination with other remedies it is made up into cough medicines, and can be of service in pulmonary disorders generally. Skillfully compounded, slight alterative and tonic qualities are noticed. Wineglass doses are taken of a 1 ounce to 1 pint (reduced) decoction.These modest present-day claims for Elecampane are far exceeded by Culpeper's exuberance. In his view, the root "warms a cold and windy stomach or the pricking therein, and stitches in the side caused by the spleen; helps the cough, shortness of the breath, and wheezing of the lungs. . . . Profitable for those that have their urine stopped. . . . Resisteth poison, and stayeth the venom of serpents, as also of putrid and pestilential fevers, and the plague itself." When we are also told by the same author that it kills and expels worms, fastens loose teeth, arrests dental decay, cleanses the skin from morphew, spots and blemishes, we realize in what esteem Elecampane was held in the seventeenth century! But here again germs of truth are hidden among manifold exaggerations.... elecampaneOne school of medical thought believes bacteria to be a by-product of disease and not a direct cause of infection. Dr Pettenknofer, famous Viennese physician sought to demonstrate this when he surprised bystanders when he deliberately swallowed a glass of water containing millions of active cholera bacilli. He did not contract the disease or die as feared. Other similar demonstrations have been made to prove that before germs can harm the body, cell-soil on which they flourish must have undergone toxic degeneration. It is believed that when body resistance is low, hostile bacteria invade tissue and destroy cells. See: ANTIBACTERIALS. ... bacteria
Indicated: anti-bacterials, anti-microbials that activate the body’s immune system to inhibit growth of bacteria and germs. The following have special reference to the liver.
Alternatives. Teas. From any of the following: Holy Thistle, Thyme.
Tablets/capsules. Echinacea. Goldenseal. Blue Flag.
Formula. Echinacea 2; Milk Thistle 1; Blue Flag root 1. Dose – Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid Extracts: one 5ml teaspoon. Tinctures: two 5ml teaspoons. Every 3 hours. Tincture Myrrh BPC (1973) 20-30 drops in water every 3 hours.
See: NOTIFIABLE DISEASES. ... jaundice, infective
Complete isolation is used if a patient has a contagious disease, such as Lassa fever, that can be transmitted to others by direct contact and airborne germs. In this case, all bedding, equipment and clothing are either sterilized or incinerated after use. Partial isolation is carried out if the disease is transmitted in a more limited way (by droplet spread, as in tuberculosis, for example).
Reverse isolation, also called reverse barrier nursing, is used to protect a patient whose resistance to infection is severely lowered by a disease or treatment such as chemotherapy.
The air supply to the room is filtered.
All staff and visitors wear caps, gowns, masks, and gloves.
Occasionally, long-term reverse isolation is needed for patients with severe combined immunodeficiency (see immunodeficiency disorders).... isolation