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Suggest Treatment For Chronic Cystitis When With A History Of UTI

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Posted on Fri, 30 Jan 2015
Question: I am currently being treated for chronic cystitis. They are using a combination of different medicines flushing the bladder and then instilling ozone. The urine sample from five days ago came back stating it was 100,000 CFU/ML enterococcus species and/or eenterococcus SPP. What does this mean and what causes this? I have a history of repeated U.T.I,'s and many, many antibiotics for years and years and this culture report says I am susceptible to vancomycin, ampicillin, nitrofurantoin and benzylpenicillin. They currently do not have me on any antibiotic as I do not have any symptoms. Does all this sound okay?
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Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
Asymptomatic Bacteriuria

Detailed Answer:
Thank youf or asking

I read your question and i understand your concern. Enterococci are coliform organisms like E coli and are very common cause of UTIs. Advancing age, shorter female urethra, closer proximity to the anal area of the urethra all predispose to such recurrent UTI infections.

That lab value of CFU / ML means colony forming units of e coli and others in a single ml of urine. That indicates a UTI due to its upper limit of normal but still not enough to be put on antibiotics. Values larger than this number are advised for antibiotics. Without symptoms these levels are called asymptomatic bacteriuria. Cystitis with symptoms even 1000 per ml are enough.

Instillation of bladder with ozone and hyaluronic acids to make the epitheliums smooth enough to prevent any adhesion of bacteria is the key here.

I would say it is ok as there is not much you can do here except maintaining good toilet hygiene and drink plenty of fluids and garlic and cranberry juices. And stay in touch with your urologist.

I hope it helps. take good care of yourself and dont forget to close the discussion please.

Regards
Khan




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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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Suggest Treatment For Chronic Cystitis When With A History Of UTI

Brief Answer: Asymptomatic Bacteriuria Detailed Answer: Thank youf or asking I read your question and i understand your concern. Enterococci are coliform organisms like E coli and are very common cause of UTIs. Advancing age, shorter female urethra, closer proximity to the anal area of the urethra all predispose to such recurrent UTI infections. That lab value of CFU / ML means colony forming units of e coli and others in a single ml of urine. That indicates a UTI due to its upper limit of normal but still not enough to be put on antibiotics. Values larger than this number are advised for antibiotics. Without symptoms these levels are called asymptomatic bacteriuria. Cystitis with symptoms even 1000 per ml are enough. Instillation of bladder with ozone and hyaluronic acids to make the epitheliums smooth enough to prevent any adhesion of bacteria is the key here. I would say it is ok as there is not much you can do here except maintaining good toilet hygiene and drink plenty of fluids and garlic and cranberry juices. And stay in touch with your urologist. I hope it helps. take good care of yourself and dont forget to close the discussion please. Regards Khan