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Suggest Treatment For Norfloxacin Resistant UTI

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Posted on Mon, 8 Dec 2014
Question: My wife is feels burning sensation for the 5 minutes after urination for 5-8 minutes every late evening.
Before it was 3 to 4 times a day even morning or night but after contacting a Gynologist burning sensation after urination has been decreased once every late evening late evening.


two months ago in urine culture it was "klebsiella pneumoniae" bacteria and Dr. given atibiotics but burning sensation after urination was still there. After three appoitment we changed the Doctor.

New Doctor also given given some medicine and burning sensation after urination dropped to once a day but not going on.

Dr. said to urine culture and it shows E-coli and Dr. prescribed "norfloxacin lactic acid bacillus tablets" and some medicines (Presbrition attached Dr.Alka_22-10-2014__14.pdf)

Nine days after medicines we did urine culture again and again its shows "E-coli" and now with resistant to norfloxacin.


:: Please read all case history and report carefully as attached and prescribe or advice something::
doctor
Answered by Dr. Suresh Heijebu (3 hours later)
Brief Answer:
Resistant UTI.
Detailed Answer:
Hi.

I have gone through your query and attached reports.

Your wife seems to have resistant urinary tract infection -mixed anaerobic flora coupled with complicated cystitis .

This form of urinary infection needs urine culture obtained by suprapubic collection.

A cystoscopy can be helpful to document changes of cystitis.

Therapy in your case should consist of antibiotic coverage with piperacillin and tazobactum along with Moxifloxacin.

A CT abdomen is needed to detect any chronic pyelonephritc changes.

Post your futher queries,if any.


Thank you.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Suresh Heijebu (35 minutes later)
Should We change the Doctor because her Gynologist is not prescribing any CT scan?

Alo a Gynologist is ok or we should find a urologist ?
doctor
Answered by Dr. Suresh Heijebu (9 hours later)
Brief Answer:
Consultation with a urologist is must.

Detailed Answer:
Hi Sir.

It highly recommended that you seek both doctors simultaneously.

Consult a Urologist separately and show him all the reports which you uploaded on your query.

Thank you.





Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Suresh Heijebu (4 hours later)
Today I found that I also got UTI (Confirmed by test) and Dr. given Cifixme 200 (twice a day).

Is UTI sexually transmitted ?

I was feeling like I have some mild UTI symptops from last month, It can be reason of recurrent UTI in my wife?
doctor
Answered by Dr. Suresh Heijebu (3 hours later)
Brief Answer:
UTI's are sexually transmitted.

Detailed Answer:
Hi Sir.

UTI is absolutely sexually transmitted infection.

This could have been acquired from your wife as the prime source.

Cefixime is quite effective against UTI.

Thank you.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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Suggest Treatment For Norfloxacin Resistant UTI

Brief Answer: Resistant UTI. Detailed Answer: Hi. I have gone through your query and attached reports. Your wife seems to have resistant urinary tract infection -mixed anaerobic flora coupled with complicated cystitis . This form of urinary infection needs urine culture obtained by suprapubic collection. A cystoscopy can be helpful to document changes of cystitis. Therapy in your case should consist of antibiotic coverage with piperacillin and tazobactum along with Moxifloxacin. A CT abdomen is needed to detect any chronic pyelonephritc changes. Post your futher queries,if any. Thank you.