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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Frequent Urination And Fever While On Medication For UTI

Hi Doc,Good day! My patient was diagnosed having UTI ,He had Urinalysis showing RBC 60-70/HPF ,Pus cells 20-30, Reaction 6.0, Glucose NEgative , Protein 3+. Then his Doctor prescribed Co-Amocxilav 500 mg (BACTIV) for 7 days.Then he had Urinalysis again with Urine RBC Morphology new result RBC 40-50 , PUS CELL 2-5,REACTION 6.5, GLUCOSE NEGATIVE ,PROTEIN 2+. URINE MORPHOLOGY RESULT: INTACT RBCs 30%, CRENATED RBC -60%, GHOST CELLS -10%. After taking his Antibiotic he still suffering of frequent Urination and on and off fever . Sometimes felling chilly even the Temp. is T-37.1 C. Pls give some advice what to do and what it means on the current results.Thank you.
Thu, 29 Jan 2015
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Geriatrics Specialist,  's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. It seems, he has amoxiclav resistant infection.
2. As the infection is persistent and along with symptoms, he will require, culture and sensitivity test to identify appropriate antibiotic,
3. Until then nitrofurantoin can be tried, after that sensitive antibiotic needs to be started.
4. Persistent urinary tract infection, after treatment with sensitive antibiotic, repeat urine test necessary to rule out persistent infection. Meet your doctor for tests and appropriate antibiotic treatment.
Hope it helps.
Any further queries, happy to help again.
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Suggest Treatment For Frequent Urination And Fever While On Medication For UTI

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. It seems, he has amoxiclav resistant infection. 2. As the infection is persistent and along with symptoms, he will require, culture and sensitivity test to identify appropriate antibiotic, 3. Until then nitrofurantoin can be tried, after that sensitive antibiotic needs to be started. 4. Persistent urinary tract infection, after treatment with sensitive antibiotic, repeat urine test necessary to rule out persistent infection. Meet your doctor for tests and appropriate antibiotic treatment. Hope it helps. Any further queries, happy to help again.