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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For UTI?

Hi, I saw one of your doctors recently. I have t5 paraplegia and self catheterise. I had a UTI and was given macrodanten as it was resistant. I am just coming to the end of the course and I am becoming symtomatic again. I am wondering if I have a prostate infection?
Mon, 2 May 2016
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General & Family Physician 's  Response
Hello dear,
Understand your concern.
I think you have recurrent UTI.
Recurrent UTIs are symptomatic UTIs that follow resolution of an earlier episode, usually after appropriate treatment.
Yes chronic prostatitis or Pro static hyperplasia can aggravate the UTI.

Causative factor:
E. coli, Staphylococcus saprophyticus (10 to 15 percent). Enterococcus, Klebsiella, Enterobacter, and Proteus
Diabetes melitus, neurological conditions, chronic institutional residence
Better to consult the urologist
And do necessary investigations like
Urine routine, microscopic and culture
Blood sugar, urea, creatinine, PSA
Pro static profile
Lower abdominal USG

Meanwhile take following advice:
1. three day course of trimethoprim/sulfamethoxazole is the current standard therapy,
2. with three days of trimethoprim or a fluoroquinolone (i.e., ofloxacin, norfloxacin [Noroxin], or ciprofloxacin [Cipro]) being equally effective.

3. Fluoroquinolones and nitrofurantoin become better options in your case for TMP-SMX resistance increases.

4. If oral drug is not possible, take ceftazidime parentrally.
You should shift to oral therapy with in 72 hr as you able to tolerate oral drugs.
Follow up urine culture after 14 days to confirm the eradication of bacteria.

Take plenty of water.
Tablet Paracetamol 500 mg three times a day if fever is present.
Tablet cetrizine once daily if itching
take fruit juice of cranberry, orange and papaya
Maintain hygiene after urination, wipe pelvic area frequently.
Wear loose cotton inner wear
Hope this advice help you.
Thank you.
Get well soon.
Best regards
Dr. Sagar
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What Is The Treatment For UTI?

Hello dear, Understand your concern. I think you have recurrent UTI. Recurrent UTIs are symptomatic UTIs that follow resolution of an earlier episode, usually after appropriate treatment. Yes chronic prostatitis or Pro static hyperplasia can aggravate the UTI. Causative factor: E. coli, Staphylococcus saprophyticus (10 to 15 percent). Enterococcus, Klebsiella, Enterobacter, and Proteus Diabetes melitus, neurological conditions, chronic institutional residence Better to consult the urologist And do necessary investigations like Urine routine, microscopic and culture Blood sugar, urea, creatinine, PSA Pro static profile Lower abdominal USG Meanwhile take following advice: 1. three day course of trimethoprim/sulfamethoxazole is the current standard therapy, 2. with three days of trimethoprim or a fluoroquinolone (i.e., ofloxacin, norfloxacin [Noroxin], or ciprofloxacin [Cipro]) being equally effective. 3. Fluoroquinolones and nitrofurantoin become better options in your case for TMP-SMX resistance increases. 4. If oral drug is not possible, take ceftazidime parentrally. You should shift to oral therapy with in 72 hr as you able to tolerate oral drugs. Follow up urine culture after 14 days to confirm the eradication of bacteria. Take plenty of water. Tablet Paracetamol 500 mg three times a day if fever is present. Tablet cetrizine once daily if itching take fruit juice of cranberry, orange and papaya Maintain hygiene after urination, wipe pelvic area frequently. Wear loose cotton inner wear Hope this advice help you. Thank you. Get well soon. Best regards Dr. Sagar