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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From UTI. Taken Multiple Courses Of Antibiotics. Test Shows RBC, Pus Cells In Urine. Reason?

hello sir, My mother has been suffering from UTI for past several months and taken multiple courses of antibiotic in past seven months .Recently she got her routine urinalysis and urine culture done results still show 100-120pus cells 4-6 RBC but no growth on culture is obtained.so i wanted to know whether it is possible that any other infection like viral or fungal is responsible for this rather than bacterial infection. Regards Dr. Ayush Naik YYYY@YYYY
Tue, 23 Jul 2013
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General & Family Physician 's  Response
Hello dear,

The reason for persistence of UTI after treatment & repeated recurrence can be due to:
1. Inadequate duration of treatment
2. Inappropriate dosage of the medications
3. Inappropriate selection of antibiotics against the causative organism.
4. Improper treatment of underlying cause of the UTI.

Under such circumstances, the following corrective measures should be taken:
1. Discuss regarding the adequate duration of treatment with the treating physician.
2. Discuss regarding the proper dosage of medications depending upon age and body weight.
3. Culture & sensitivity of the urine to be done for selection of appropriate antibiotic.
4. Additional investigations like X ray KUB (Kidney Ureter & Bladder) and Ultrasound scan of abdomen & pelvis will be helpful in detecting any hidden focus of infection in the Genito urinary tract.

Kindly let me know if you have any further queries.
Wishing a good health.
Thanks & take care.
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Suffering From UTI. Taken Multiple Courses Of Antibiotics. Test Shows RBC, Pus Cells In Urine. Reason?

Hello dear, The reason for persistence of UTI after treatment & repeated recurrence can be due to: 1. Inadequate duration of treatment 2. Inappropriate dosage of the medications 3. Inappropriate selection of antibiotics against the causative organism. 4. Improper treatment of underlying cause of the UTI. Under such circumstances, the following corrective measures should be taken: 1. Discuss regarding the adequate duration of treatment with the treating physician. 2. Discuss regarding the proper dosage of medications depending upon age and body weight. 3. Culture & sensitivity of the urine to be done for selection of appropriate antibiotic. 4. Additional investigations like X ray KUB (Kidney Ureter & Bladder) and Ultrasound scan of abdomen & pelvis will be helpful in detecting any hidden focus of infection in the Genito urinary tract. Kindly let me know if you have any further queries. Wishing a good health. Thanks & take care.