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Suggest Treatment For Chronic UTI
Question: My name is XXXX XXXXXXX .Male Age-36+ In the year 2008 i suffered by Transverse Mylitis and loose the narmal power of urination. From then i am using permanent catheter.Due to use of catheter i get suffered by urine infection atleast 2 times in a year and advised to take zanocin 200 and after taking that its cured always. But not now ..this time one and half months earlier i feel affected by urine infection and started zanocin 200 BD for 5 days and its cured after 10 days again affected i altered the medicine by levofloxacin 500 BD for 5 days and its cured after 7 days its again affected and i go for urine culture and it shows "Klebsiella" count 160,000/ml approx
i contact an urologist and ge adised amikacin 500 inj BD for 7 days and Percin 600 OD for 14 days even after full course of this its not cured rather the pain and burning sensation is unbearable now...i met the same doctor again and now he advised Faropenem Sodium ER tablets 300 BD for 14 days, Martifur 100 BD for 28 days and Flavocip 200 TD for 21 days but after 3days of medicine taken the pain or burning sensation not reducing..its still very painfull..is the advised medicine is proper or i should go for something else?
i contact an urologist and ge adised amikacin 500 inj BD for 7 days and Percin 600 OD for 14 days even after full course of this its not cured rather the pain and burning sensation is unbearable now...i met the same doctor again and now he advised Faropenem Sodium ER tablets 300 BD for 14 days, Martifur 100 BD for 28 days and Flavocip 200 TD for 21 days but after 3days of medicine taken the pain or burning sensation not reducing..its still very painfull..is the advised medicine is proper or i should go for something else?
Brief Answer:
Unfortunately you have refractory UTI.
Detailed Answer:
Hello
Thanks for your query ,based on the facts and lab reports that you have posted it appears that you have been catheterized with self indwelling catheter since 2008 and has been getting repeated episodes of UTI. Now it has turned out to be Chronic UTI refractory even to antibiotics detected sensitive as per sensitivity report .
In a given situation and considering the long term need for drainage of bladder I would suggest you to consult your Urologist and explore putting a Supra Pubic Catheter (SPC) to drain your bladder .This will help you to get relief from burning and pain in urethra.
In the mean while take antibiotics as per culture report
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.
Unfortunately you have refractory UTI.
Detailed Answer:
Hello
Thanks for your query ,based on the facts and lab reports that you have posted it appears that you have been catheterized with self indwelling catheter since 2008 and has been getting repeated episodes of UTI. Now it has turned out to be Chronic UTI refractory even to antibiotics detected sensitive as per sensitivity report .
In a given situation and considering the long term need for drainage of bladder I would suggest you to consult your Urologist and explore putting a Supra Pubic Catheter (SPC) to drain your bladder .This will help you to get relief from burning and pain in urethra.
In the mean while take antibiotics as per culture report
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.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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