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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For High Fever & ESR Of 75

Hi My husband is running with high fever and has ESR of 75. He also has nitrite , protein, 40-50 WBC, few RBC and bacteria in urine routine examination. He had an accident few days back and had fracture in oestabulum so he is bed ridden and has a catheter for urination. What should he do?
Thu, 17 Dec 2015
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Urologist,  's  Response
Hello
Thanks for query .

Your husband who is bed ridden due to fracture of the Acetabulum is catheterized with indwelling Foley catheter and has high fever ,

High fever with presence of proteins ,WBC ,RBC and nitrites in urine strongly suggest that he has UTI due to what is called as Catheter Cystitis.

Please get his routine urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.

Please give him broad spectrum antibiotics like Cefixime 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 he drinks more water .To keep his urine dilute

Dr.Patil.

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Suggest Medication For High Fever & ESR Of 75

Hello Thanks for query . Your husband who is bed ridden due to fracture of the Acetabulum is catheterized with indwelling Foley catheter and has high fever , High fever with presence of proteins ,WBC ,RBC and nitrites in urine strongly suggest that he has UTI due to what is called as Catheter Cystitis. Please get his routine urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please give him broad spectrum antibiotics like Cefixime 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 he drinks more water .To keep his urine dilute Dr.Patil.