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Suggest Treatment For UTI While On Cipro And Keflex

Posted on Fri, 7 Apr 2017

Question: I have been diagnosed with a UTI. Specimen resulted in Citrobacter Kseri greater thatn 100,000 CFU/ml. Originally I was put on Keflex x 7 days. After three days of Keflex and the culture back, now switched to Cipro twice a day for 3 days. Is this an appropriate treatment to eliminate the UTI? I in my 60's.

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Will you please upload your Urine culture report .

Detailed Answer:
Hello
Thanks for query .

You have been diagnosed to have UTI and being prescribed as per culture and sensitivity report .

Ideally in elderly females UTI takes long time to get cured hence appropriate antibiotics has to be taken for 2-3 weeks .

I shall be happy if you post your Urine culture report so that I can suggest you the antibiotic and duration for which it has to be taken .
.
In the mean while get your routine urine test done .to judge the results of treatment taken so far .

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (18 hours later)

I did include the culture results in my question. The sensitivity report is what indicated changing to Cipro. You mention taking the antibiotics 2-3 weeks. Cipro is a antibiotic with substantial side effects for older patients--such as possible cardiac arrhythmias and tendon rupture. These were mentioned to me by the health provider. Doesn't sound like a medication that one can stay on for a long period of time. Have you found these to be true side effects? Is Citrobacter Koseri rare as a UTI organism and is it difficult to clear?

Answered by Dr. Dr. P. T. Patil (47 minutes later)

Brief Answer:
Side effects you mentioned are known but rare

Detailed Answer:
Hello
Thanks fr follow up .

keeping in mind the side effects of Ciprofloxacin I had asked for complete culture and sensitivity report so as to suggest any other antibiotic.These are known side effects of Ciprofloxacin but are very rare and mainly occur after long term use .

In majority of cases UTI is due to E-coli organisms compared to Citrobacter Koseri which is less common.

Thanks and Regards.
Dr.Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar