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My Mother Who Is 67 Years Old Have Problem Walking
Question: My Mother who is 67 years old have problem walking , so she has a catheter (foleys) for Urine excretion. She recently had a Urine test routine as well as Culture and in the Culture result she had a MDR Bacteria(. Is there a medication that can be provided if you have a MDR UTI. She also complains about discomfort feeling and a sense of Urgency to Urinate which goes away after a while although otherwise she has no other Symptoms or Fever.The bacteria found in Urine starts with K but I cant remember the exact name but Doctor hadl told me its same as E.Coli only
My Mother who is 67 years old have problem walking , so she has a catheter (foleys) for Urine excretion. She recently had a Urine test routine as well as Culture and in the Culture result she had a MDR Bacteria(. Is there a medication that can be provided if you have a MDR UTI. She also complains about discomfort feeling and a sense of Urgency to Urinate which goes away after a while although otherwise she has no other Symptoms or Fever.The bacteria found in Urine starts with K but I cant remember the exact name but Doctor hadl told me its same as E.Coli only
Brief Answer:
Change catheter if it can't be removed.
Detailed Answer:
good day and thank you for being with healthcaremagic!
most if the time multidrug resistant bacteria is caused by and indwelling Foley catheter that has been there for so long. it is not advisable to have an indwelling catheter and it is better to do intermittent catheterization every 4-6 hours. this would decrease the bacteria in the bladder because there is no foreign body. but of course it is better if she is able to urinate on her own despite being not able to walk.
since she doesn't have symptoms it is not advisable to treat the bacteria because it may just be bacterial colonization and not bacterial infection. if we start treating all this culture then we will end up having no more antibiotics to use when the true infection comes.
my suggestion is to do intermittent catheterization or replace the Foley catheter and monitor her symptoms if it develops. there is also no role for prophylactic antibiotics to prevent infection while on catheter because this will just the increase resistance.
bacteria is klebsiella.
Change catheter if it can't be removed.
Detailed Answer:
good day and thank you for being with healthcaremagic!
most if the time multidrug resistant bacteria is caused by and indwelling Foley catheter that has been there for so long. it is not advisable to have an indwelling catheter and it is better to do intermittent catheterization every 4-6 hours. this would decrease the bacteria in the bladder because there is no foreign body. but of course it is better if she is able to urinate on her own despite being not able to walk.
since she doesn't have symptoms it is not advisable to treat the bacteria because it may just be bacterial colonization and not bacterial infection. if we start treating all this culture then we will end up having no more antibiotics to use when the true infection comes.
my suggestion is to do intermittent catheterization or replace the Foley catheter and monitor her symptoms if it develops. there is also no role for prophylactic antibiotics to prevent infection while on catheter because this will just the increase resistance.
bacteria is klebsiella.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Change catheter if it can't be removed.
Detailed Answer:
good day and thank you for being with healthcaremagic!
most if the time multidrug resistant bacteria is caused by and indwelling Foley catheter that has been there for so long. it is not advisable to have an indwelling catheter and it is better to do intermittent catheterization every 4-6 hours. this would decrease the bacteria in the bladder because there is no foreign body. but of course it is better if she is able to urinate on her own despite being not able to walk.
since she doesn't have symptoms it is not advisable to treat the bacteria because it may just be bacterial colonization and not bacterial infection. if we start treating all this culture then we will end up having no more antibiotics to use when the true infection comes.
my suggestion is to do intermittent catheterization or replace the Foley catheter and monitor her symptoms if it develops. there is also no role for prophylactic antibiotics to prevent infection while on catheter because this will just the increase resistance.
bacteria is klebsiella.
Change catheter if it can't be removed.
Detailed Answer:
good day and thank you for being with healthcaremagic!
most if the time multidrug resistant bacteria is caused by and indwelling Foley catheter that has been there for so long. it is not advisable to have an indwelling catheter and it is better to do intermittent catheterization every 4-6 hours. this would decrease the bacteria in the bladder because there is no foreign body. but of course it is better if she is able to urinate on her own despite being not able to walk.
since she doesn't have symptoms it is not advisable to treat the bacteria because it may just be bacterial colonization and not bacterial infection. if we start treating all this culture then we will end up having no more antibiotics to use when the true infection comes.
my suggestion is to do intermittent catheterization or replace the Foley catheter and monitor her symptoms if it develops. there is also no role for prophylactic antibiotics to prevent infection while on catheter because this will just the increase resistance.
bacteria is klebsiella.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
It is colonization if there are no symptoms.
Detailed Answer:
yes even if it showing multiple rbcs and wbcs in the urine it may still be bacterial colonization and not infection in the absence of symptoms for your mother.
if all the antibiotics are resistant then there is nothing to give anymore. this is the reason why we don't treat colonization because the bacteria will just become resistant.
I would suggest to see a infectious specialist in your area to help you with this. thank you very much.
It is colonization if there are no symptoms.
Detailed Answer:
yes even if it showing multiple rbcs and wbcs in the urine it may still be bacterial colonization and not infection in the absence of symptoms for your mother.
if all the antibiotics are resistant then there is nothing to give anymore. this is the reason why we don't treat colonization because the bacteria will just become resistant.
I would suggest to see a infectious specialist in your area to help you with this. thank you very much.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
It is colonization if there are no symptoms.
Detailed Answer:
yes even if it showing multiple rbcs and wbcs in the urine it may still be bacterial colonization and not infection in the absence of symptoms for your mother.
if all the antibiotics are resistant then there is nothing to give anymore. this is the reason why we don't treat colonization because the bacteria will just become resistant.
I would suggest to see a infectious specialist in your area to help you with this. thank you very much.
It is colonization if there are no symptoms.
Detailed Answer:
yes even if it showing multiple rbcs and wbcs in the urine it may still be bacterial colonization and not infection in the absence of symptoms for your mother.
if all the antibiotics are resistant then there is nothing to give anymore. this is the reason why we don't treat colonization because the bacteria will just become resistant.
I would suggest to see a infectious specialist in your area to help you with this. thank you very much.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Ok Thanks
But are you saying that if the infection is there and all the Antibiotics are resistant, then there is no option at all (medicine, Non-Medicin etc.) . Is it a like a death Sentence. Also I have always been curious and wanted to ask this , does the body not fight bacteria by themselves. I am sure bacterial infection would have existed since ages even when the Antibiotics were not there.
But are you saying that if the infection is there and all the Antibiotics are resistant, then there is no option at all (medicine, Non-Medicin etc.) . Is it a like a death Sentence. Also I have always been curious and wanted to ask this , does the body not fight bacteria by themselves. I am sure bacterial infection would have existed since ages even when the Antibiotics were not there.
Ok Thanks
But are you saying that if the infection is there and all the Antibiotics are resistant, then there is no option at all (medicine, Non-Medicin etc.) . Is it a like a death Sentence. Also I have always been curious and wanted to ask this , does the body not fight bacteria by themselves. I am sure bacterial infection would have existed since ages even when the Antibiotics were not there.
But are you saying that if the infection is there and all the Antibiotics are resistant, then there is no option at all (medicine, Non-Medicin etc.) . Is it a like a death Sentence. Also I have always been curious and wanted to ask this , does the body not fight bacteria by themselves. I am sure bacterial infection would have existed since ages even when the Antibiotics were not there.
Brief Answer:
Immune system would help with good nutrition.
Detailed Answer:
yes a good immune system would definitely help with the infection. it won't be a death sentence because once you change catheter and get a new urine culture it will be a different bacteria.
Like I said with no symptoms it is colonization and will not be a death sentence.
Immune system would help with good nutrition.
Detailed Answer:
yes a good immune system would definitely help with the infection. it won't be a death sentence because once you change catheter and get a new urine culture it will be a different bacteria.
Like I said with no symptoms it is colonization and will not be a death sentence.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
Immune system would help with good nutrition.
Detailed Answer:
yes a good immune system would definitely help with the infection. it won't be a death sentence because once you change catheter and get a new urine culture it will be a different bacteria.
Like I said with no symptoms it is colonization and will not be a death sentence.
Immune system would help with good nutrition.
Detailed Answer:
yes a good immune system would definitely help with the infection. it won't be a death sentence because once you change catheter and get a new urine culture it will be a different bacteria.
Like I said with no symptoms it is colonization and will not be a death sentence.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
OK Doctor
My question is if hypothetically you have MDr bacterial infection then how do you treat it. I am assuming this must be very common in hospital setups. Are you saying this also goes away on its own eventually.
I am also concerned about colonization. Does colonization means bacteria are just sitting and dancing there . What is stopping them from infecting
My question is if hypothetically you have MDr bacterial infection then how do you treat it. I am assuming this must be very common in hospital setups. Are you saying this also goes away on its own eventually.
I am also concerned about colonization. Does colonization means bacteria are just sitting and dancing there . What is stopping them from infecting
OK Doctor
My question is if hypothetically you have MDr bacterial infection then how do you treat it. I am assuming this must be very common in hospital setups. Are you saying this also goes away on its own eventually.
I am also concerned about colonization. Does colonization means bacteria are just sitting and dancing there . What is stopping them from infecting
My question is if hypothetically you have MDr bacterial infection then how do you treat it. I am assuming this must be very common in hospital setups. Are you saying this also goes away on its own eventually.
I am also concerned about colonization. Does colonization means bacteria are just sitting and dancing there . What is stopping them from infecting
Brief Answer:
Treatment is combination therapy with antibiotics with synergistic effects
Detailed Answer:
It is a problematic clinical scenario to treat pan drug resistant bacteria (Pan- meaning all antibiotics are resistant). What we do is combination therapy with antibiotics with synergistic effects with each other but it is usually not successful. There are multiple new molecules in the clinical trial phase that are created to treat this pan drug resistant bacteria. If the patient is very sick then we treat them with multiple combination antibiotics.
Colonization means that the bacteria is living in the catheter of your mother and it is not enough to overcome the natural immune system of the body to cause infection. If your mother's immune system goes down then the bacteria may cause an infection.
Why is your mother on an indwelling catheter? does she have trouble emptying her bladder? The only solution is to remove the catheter so she wont develop an infection in the urinary system.
Treatment is combination therapy with antibiotics with synergistic effects
Detailed Answer:
It is a problematic clinical scenario to treat pan drug resistant bacteria (Pan- meaning all antibiotics are resistant). What we do is combination therapy with antibiotics with synergistic effects with each other but it is usually not successful. There are multiple new molecules in the clinical trial phase that are created to treat this pan drug resistant bacteria. If the patient is very sick then we treat them with multiple combination antibiotics.
Colonization means that the bacteria is living in the catheter of your mother and it is not enough to overcome the natural immune system of the body to cause infection. If your mother's immune system goes down then the bacteria may cause an infection.
Why is your mother on an indwelling catheter? does she have trouble emptying her bladder? The only solution is to remove the catheter so she wont develop an infection in the urinary system.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
Treatment is combination therapy with antibiotics with synergistic effects
Detailed Answer:
It is a problematic clinical scenario to treat pan drug resistant bacteria (Pan- meaning all antibiotics are resistant). What we do is combination therapy with antibiotics with synergistic effects with each other but it is usually not successful. There are multiple new molecules in the clinical trial phase that are created to treat this pan drug resistant bacteria. If the patient is very sick then we treat them with multiple combination antibiotics.
Colonization means that the bacteria is living in the catheter of your mother and it is not enough to overcome the natural immune system of the body to cause infection. If your mother's immune system goes down then the bacteria may cause an infection.
Why is your mother on an indwelling catheter? does she have trouble emptying her bladder? The only solution is to remove the catheter so she wont develop an infection in the urinary system.
Treatment is combination therapy with antibiotics with synergistic effects
Detailed Answer:
It is a problematic clinical scenario to treat pan drug resistant bacteria (Pan- meaning all antibiotics are resistant). What we do is combination therapy with antibiotics with synergistic effects with each other but it is usually not successful. There are multiple new molecules in the clinical trial phase that are created to treat this pan drug resistant bacteria. If the patient is very sick then we treat them with multiple combination antibiotics.
Colonization means that the bacteria is living in the catheter of your mother and it is not enough to overcome the natural immune system of the body to cause infection. If your mother's immune system goes down then the bacteria may cause an infection.
Why is your mother on an indwelling catheter? does she have trouble emptying her bladder? The only solution is to remove the catheter so she wont develop an infection in the urinary system.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
My question is if the bacteria is present in so much abundance just near the body of my mother that too PAN one, then aren't there 100 % chances that it will cause infection eventually. Are you saying even if the bacteria is resistant to all Antobiotics it is not resistant to Immune System ??
My question is if the bacteria is present in so much abundance just near the body of my mother that too PAN one, then aren't there 100 % chances that it will cause infection eventually. Are you saying even if the bacteria is resistant to all Antobiotics it is not resistant to Immune System ??
Brief Answer:
Not 100 percent to become an infection
Detailed Answer:
If the immune system is strong then it wouldn't cause infection. to have an infection it would be the inter play between the host immune system and the bacteria. if the immune system would weekend then they're would be over over growth if the bacteria to cause an infection.
it is not 100 percent that the bacterial colonization would cause an infection and like i said before no one should treat bacterial colonization, guidelines on this topic is very clear on that. it would just develop resistance and said not prevent colonization from happening again.
immune system doesn't produce antibiotics rather it has different ways to prevent infection so it is wrong to say whether the bacteria will be resistant to the immune system or not.
Not 100 percent to become an infection
Detailed Answer:
If the immune system is strong then it wouldn't cause infection. to have an infection it would be the inter play between the host immune system and the bacteria. if the immune system would weekend then they're would be over over growth if the bacteria to cause an infection.
it is not 100 percent that the bacterial colonization would cause an infection and like i said before no one should treat bacterial colonization, guidelines on this topic is very clear on that. it would just develop resistance and said not prevent colonization from happening again.
immune system doesn't produce antibiotics rather it has different ways to prevent infection so it is wrong to say whether the bacteria will be resistant to the immune system or not.
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
Not 100 percent to become an infection
Detailed Answer:
If the immune system is strong then it wouldn't cause infection. to have an infection it would be the inter play between the host immune system and the bacteria. if the immune system would weekend then they're would be over over growth if the bacteria to cause an infection.
it is not 100 percent that the bacterial colonization would cause an infection and like i said before no one should treat bacterial colonization, guidelines on this topic is very clear on that. it would just develop resistance and said not prevent colonization from happening again.
immune system doesn't produce antibiotics rather it has different ways to prevent infection so it is wrong to say whether the bacteria will be resistant to the immune system or not.
Not 100 percent to become an infection
Detailed Answer:
If the immune system is strong then it wouldn't cause infection. to have an infection it would be the inter play between the host immune system and the bacteria. if the immune system would weekend then they're would be over over growth if the bacteria to cause an infection.
it is not 100 percent that the bacterial colonization would cause an infection and like i said before no one should treat bacterial colonization, guidelines on this topic is very clear on that. it would just develop resistance and said not prevent colonization from happening again.
immune system doesn't produce antibiotics rather it has different ways to prevent infection so it is wrong to say whether the bacteria will be resistant to the immune system or not.
Above answer was peer-reviewed by :
Dr. Prasad
Ok Great to hear that if the immune system is strong then Infection wont happen. So lets say after 6 months the immune system becomes weak, by that time the colony of bacteria would be gone or they would remian there forever. Also after they infect and if immune system is strong once again then it would once again get rid of it
One more curious question if Immune system is so effective at handling MDR bacteria then why don't we simply use Antibodies for treating it. I remember when a dog bit me there was an antibody injection inserted at the infection site. Can the same be not done for bacteria. Medical field would not have to be worried anymore abut mutating bacterias. Is this option available (and costly ???)
One more curious question if Immune system is so effective at handling MDR bacteria then why don't we simply use Antibodies for treating it. I remember when a dog bit me there was an antibody injection inserted at the infection site. Can the same be not done for bacteria. Medical field would not have to be worried anymore abut mutating bacterias. Is this option available (and costly ???)
Ok Great to hear that if the immune system is strong then Infection wont happen. So lets say after 6 months the immune system becomes weak, by that time the colony of bacteria would be gone or they would remian there forever. Also after they infect and if immune system is strong once again then it would once again get rid of it
One more curious question if Immune system is so effective at handling MDR bacteria then why don't we simply use Antibodies for treating it. I remember when a dog bit me there was an antibody injection inserted at the infection site. Can the same be not done for bacteria. Medical field would not have to be worried anymore abut mutating bacterias. Is this option available (and costly ???)
One more curious question if Immune system is so effective at handling MDR bacteria then why don't we simply use Antibodies for treating it. I remember when a dog bit me there was an antibody injection inserted at the infection site. Can the same be not done for bacteria. Medical field would not have to be worried anymore abut mutating bacterias. Is this option available (and costly ???)
Brief Answer:
Infection needs antibiotics, colonization only the immune system.
Detailed Answer:
The colony of bacteria if it will be present in 6 months would largely depend on what you do with the catheter of your mother.
If the bacteria causes/develop to an infection (presence of symptoms) then that means that the immune system is not sufficient and antibiotic treatment is necessary.
That is one field of research on going immunotherapy against bacteria but still a long way to go on clinic trials. hopefully soon because we are losing the war against bacteria due to inappropriate use of antibiotics worldwide in the medical field and in farming and industrial use for commerce.
Infection needs antibiotics, colonization only the immune system.
Detailed Answer:
The colony of bacteria if it will be present in 6 months would largely depend on what you do with the catheter of your mother.
If the bacteria causes/develop to an infection (presence of symptoms) then that means that the immune system is not sufficient and antibiotic treatment is necessary.
That is one field of research on going immunotherapy against bacteria but still a long way to go on clinic trials. hopefully soon because we are losing the war against bacteria due to inappropriate use of antibiotics worldwide in the medical field and in farming and industrial use for commerce.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
Infection needs antibiotics, colonization only the immune system.
Detailed Answer:
The colony of bacteria if it will be present in 6 months would largely depend on what you do with the catheter of your mother.
If the bacteria causes/develop to an infection (presence of symptoms) then that means that the immune system is not sufficient and antibiotic treatment is necessary.
That is one field of research on going immunotherapy against bacteria but still a long way to go on clinic trials. hopefully soon because we are losing the war against bacteria due to inappropriate use of antibiotics worldwide in the medical field and in farming and industrial use for commerce.
Infection needs antibiotics, colonization only the immune system.
Detailed Answer:
The colony of bacteria if it will be present in 6 months would largely depend on what you do with the catheter of your mother.
If the bacteria causes/develop to an infection (presence of symptoms) then that means that the immune system is not sufficient and antibiotic treatment is necessary.
That is one field of research on going immunotherapy against bacteria but still a long way to go on clinic trials. hopefully soon because we are losing the war against bacteria due to inappropriate use of antibiotics worldwide in the medical field and in farming and industrial use for commerce.
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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