Suggest Treatment For Recurrent UTI And Fever

Posted on Thu, 10 Nov 2016

Question: Hello,I was recently told about 3 weeks ago I have a uti infection caused by klesiella pneumonia and enteoccocus. I took tetracycline and put on cipro because the tet did not work. I do not feel well. I have chills and low grade temp of 99..I am kind of nervous and need to know what to do.

Answered by Dr. Dr. P. T. Patil (18 minutes later)

Brief Answer:
You need to take appropriate antibiotic as per urine culture report .

Detailed Answer:
Hello
Thanks for query .Based on the facts that you have posted you have been diagnosed to have UTI and was being prescribed Tetracycline and later on Ciprofloxacin but failed to get desired results with no improvement in your symptoms .

I shall be happy if you can post me few more details to help me in making comments on your problem
1) Was your urine culture done and the antibiotics were prescribed as per culture report ?

The probable reason for not getting response to these drugs could be be mostly due to fact that the organisms causing infection may not be sensitive to these drugs ,

I would suggest you to get get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.
Please take broad spectrum antibiotics like Cefotaxime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report

Get the prescription of medicines from your family Physician.

Ensure to drink more water .To keep your urine dilute This will help to control dysuria.

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 (23 minutes later)

Thank you for the information. Yes, the doctor sent my urine out for a culture and it came back with enteroccocus facelis and klebsiella. I am hearing this is difficult bacteria to treat. I have a general I'll feeling and side flank pain. I will followup and try the medicine you are recommending. How in the world could I catch this type of uti? Additionally, I just wanted to add that my husband had a wound infection last year in XXXXXXX Long story short, his foot was ran over with a paver and almost chopped it off. He was hospitalized for two months. In January of this year, he caught an infection in his foot and was placed on intravenous antibiotics. Again, two weeks ago another infection on the foot and they cultured it and found out its MRSA. Can this be contagious? I have touched his foot to massage it.

Answered by Dr. Dr. P. T. Patil (25 minutes later)

Brief Answer:
Enterococcus faecalis infection is common in females .

Detailed Answer:
hello
Thanks for follow up .
Perineal and peri anal region of females is natural habitat for bacteria especially for Enterococcus Faecalis hence it is very common in female to get infection due to proximity of anus being very close to urethral opening as compared to male. Second reason why females get UTI frequently is use of common toilets which are most of the times unhygienic .

As regards your doubt acquiring this infection from proved MRSA infection that your husband has I would state that it is unlikely to be contagious since you have Eneterococcocus faecalis and Klebsiella infection which are different bacteria from MRSA .

I would suggest you to repeat urine culture and take aantibiotics s per culture report .

Thanks and Regards.
Dr.Patil.

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