This Is When You're Most Likely To Get A UTI

Summer lovin' is a major risk factor.
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Severe urinary tract infections spike in the summertime, especially among younger women, a new study finds.

Researchers analyzed information on people who were hospitalized for urinary tract infections (UTIs) from 1998 to 2011 in the United States. There are more than 7 million UTIs in the United States each year, but only a small fraction of severe cases require hospitalization.

Overall, the number of hospitalizations for UTIs nearly doubled during the study period, from about 136,000 nationally in 1998 to nearly 244,000 in 2011. UTI hospitalizations increased at twice the rate among women compared with men.

But in addition to this overall increase, the researchers also found a seasonal pattern: UTI hospitalizations peaked every summer, and dipped every winter, among both women and men.

When the researchers looked at this seasonal effect in different age groups, they found that the summer peak was seen mainly among younger women, under age 44. For older women, UTI hospitalizations were about the same year-round.

"We found — really surprisingly — for women, that seasonality was the highest in these youngest women, between 18 and 40," said study researcher Jacob Simmering, of the University of Iowa's Department of Pharmacy Practice and Science. "As age went up, seasonality diminished," he said. The seasonality of UTI among men did not differ by age group. 

There are several theories as to why UTIs could be more common in the summer for younger women. Dehydration is more common in the summer, and it may increase the risk for UTI. Younger people might also be more likely to experience dehydration if they are outside more, Simmering said.

Sexual activity — another risk factor for UTI among women— may also increase in the summer among people in younger age groups, the researchers said.

The overall rise in UTI hospitalizations may be tied to an increase in antibiotic resistant bacteria that cause these infections. In previous years, most UTIs could be treated by taking antibiotics, but more recently, an increasing number of people with UTIs need different antibiotics, which can only be delivered by an IV, requiring hospitalization, Simmering said.

While it's hard to change this upward trend in UTI hospitalizations, doctors may be able to reduce the summertime peak, Simmering said. For example, they could make more recommendations for preventing UTIs in the summer, aimed at women in younger age groups, Simmering said.

Simmering presented the findings this month at IDWeek, a meeting of several organizations focused on infectious diseases.

Follow Rachael Rettner @RachaelRettner. Follow Live Science@livescience, Facebook & Google+. Original article on Live Science.

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How To Have Healthy Summer Feet
Cut Down On Blisters(01 of07)
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A new pair of sandals often comes at the steep price of painful blisters. The sores form from chafing that happens when a shoe rubs up against the skin until it balloons out, filling with fluid to cushion and protect the deeper layers of skin underneath, explains Jackie Sutera, a New York City podiatrist.

The first step for prevention, says Jane Andersen, a podiatrist in Chapel Hill, North Carolina and a spokesperson for the American Podiatric Medical Association, is to buy shoes that are comfortable when you buy them and don't need to be "broken in." Look for soft fabrics or leathers, and then take them for a test drive at home for an hour or so to make sure you stay pain-free before you wear them outside. You can also try lining any painful spots with moleskin to prevent the friction that ultimately causes blisters.

But sometimes, even seemingly comfy shoes can cause problems. "I've purchased perfectly good pairs of shoes that have given me blisters," Andersen says. If you do end up in pain, clean the blister with regular hand soap and try to leave it intact. But if the pain is unbearable, use an alcohol-sterilized needle to poke a tiny hole in the side of the blister and drain the fluid out, leaving all the skin intact. Then apply some antibiotic ointment and cover with a band-aid. (Don't try this at home if you're diabetic, though, Andersen cautions.)

(credit:MoustacheGirl via Getty Images)
Rethink Your Flip Flops(02 of07)
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Over-wearing this summertime staple can cause stress fractures, heel pain and tendonitis, and can exacerbate hammertoes. "These are not shoes that we should be wearing from 8 in the morning to 8 at night," Sutera says. "That's not really what these shoes are made for."

That said, they're hard to resist. And there are ways you can make flip flops a safer footwear choice.

"Not all flip flops are created equally," Sutera says. Look for a pair with a thicker sole with arch support -- and the more straps the better, as that can reduce the stress placed on the toes from gripping the flip flop so it doesn't fly off your foot. You shouldn't be able to bend the flip flop (or any shoe, for that matter), in half -- that's your first clue that it won't provide enough support. Reserve the ultra-thin ones for the locker room or pool.

(credit:Maksim Koval via Getty Images)
Proceed Barefoot With Caution(03 of07)
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Walking barefoot might be one of the great joys of summer, but it can also put you at an increased risk of contracting viruses like warts, fungus such as athlete's foot, or bacteria that can cause a skin infection, Andersen explains. These things tend to thrive in warm, moist environments, like a public pool.

Going shoeless also raises the risk of picking up foreign bodies, like stepping on glass or splinters.

Even walking around barefoot at home can be problematic, Andersen says, because the foot is left unsupported. If your house has a no-shoes rule, consider throwing on a pair of supportive slippers or indoor flip flops.

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Ease Sweaty Feet(04 of07)
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For some people, hot temps mean sweaty feet, and all that moisture can increase the risk picking up an infection. Andersen suggests wearing socks that wick excess moisture away, and changing out of damp socks as soon as possible. If you can't shower, at least rinse your feet off. "Keep a nice, cool environment for your feet," she says.

One natural trick? Brew regular black tea, let it cool and tuck your feet in for 30 minutes. Andersen says the tannins in the tea can decrease sweat production.

(credit:Daniel Grill via Getty Images)
Get A Safe Pedicure(05 of07)
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For many, polished toenails are a summertime necessity -- but serious health risks might be lurking in the pedicure chair.

"Pedicures can be a source for real problems," Andersen says. Everything from the tools to the relaxing whirlpool soak can transmit nail fungus, wart viruses and sometimes serious bacterial infections.

To stay safe, consider bringing your own tool set, Sutera says, especially the foot file, and clean your tools back home with a betadine solution. She also tells her patients to avoid the "Wednesday special," or a great deal that brings dozens more customers -- and germs -- through the salon. If possible, schedule your appointment at the beginning of the day, when technicians should be less tired and the tools and basins a little bit cleaner.

And don't shave or wax your legs for at least 24 hours before your appointment -- hair removal can cause microscopic cuts, increasing susceptibility to infection.

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Sidestep Those Germs(06 of07)
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One study from the University of Miami and the "Today" show found that a single pair of flip flops can harbor a whopping 18,000 bacteria, including the dangerous superbug Staphylococcus aureus.

Walking the streets in open shoes can mean kicking up all sorts of debris, including human vomit, feces, bird droppings and a whole host of other unappetizing things, Phillip Tierno, director of clinical microbiology and immunology at the NYU Langone Medical Center, told The Huffington Post. Then you take your shoes off and touch, say, your face. "It's a repository for everything you brought in from the outside and [you] don't give it a second thought," he said.

A few simple precautions can keep you safe: Tierno recommends removing your shoes before entering the house and avoiding wall-to-wall carpeting when possible, as it can harbor germs. Slip on a pair of slippers at the end of the day and wash your hands thoroughly -- between 25 and 30 seconds -- after you remove your shoes.

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Prevent And Treat Dry, Cracked Heels(07 of07)
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Wearing open-backed shoes can spread the fat pad of the heel, causing the skin to crack, says Andersen. If you have any deep cracks where you can see dried blood, treat the heel with an antibiotic oil and cover with a band aid.

But if you just have run-of-the-mill dry summer heels, Sutera suggests treating them with an exfoliating moisturizer every day and run a pumice stone over them once or twice a week in the shower -- but only in one direction, as going back and forth can actually make the split skin worse.

Dry, cracked heels can also be a sign of a fungus, psoriasis, thyroid issues and diabetes, Sutera says. If you're concerned, visit a podiatrist or dermatologist to get the all clear.

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