Thanks for writing to us.
Sjogren's syndrome being an autoimmune disorder you my be on long term steroids
which definitely lowers the immunity that being the purpose as well.
In your instance you have not named the Gram negative bacilli. presuming that to be E. coli , I shall be giving this solution.
The gastro intestinal system in humans is full of E. Coli colonies is a well known fact. Urinary opening of Urethra/ reproductory opening ie Vagina / the anal opening of Gastro intestinal tract are contiguos in nature. During ablution when you are washing the passage from backwards to forwards you will be spreading the infection yourself.
Kindly wash the area from forwards towards backside.This would prevent recurrent UTIs and vaginal infections to a great extent.
The above is just a preventive measure for the future.Kindly continue the antibiotics as prescribed after culture sensitivity by your doctor.
Wishing you a quick recovery.
DR Lt CDR ASN Bhushan