A 26 year old patient came with history of
Burning sensation in urine
Dysuria and increased frequency of urination
We had a urine culture sensitivity done
Along with a urine wet mount which revealed pus cells under microscopy
Culture sensitivity confirmed ecoli
She responded to oral antibiotics like nitrofurantoin
E col UTI is not an uncommon problem in female but we need to give antibiotics for altelst 2 weeks and re-culture to see the cure / What was the colony count? Thouht he intial presentation as like a cystitis, ascending infection can not be ruled out as well a base line U/S study is also needed.
TAB NITROFURANTOIN 100 MG 8 HOURLY WITH MEALS FOR 5 DAYS.
REPEAT URINE CULTURE AFTER 5 DAYS,
also add alkalinize in your treatment, it helps to flush the urinary tract and enhances activity of fluoro quinolones antibiotics in alkaline pH.
First you tell about sex of the patient. Because you have to find out the cause of UTI. If it is Male, then we think about the causes which are different from the causes in female. We have to look for urine flow, external meatal examination and digital rectal examination in male patients. And accordingly after getting into the cause, we will treat the patients. UTI is not about only Culture and Sensitivity and Antibiotics. Thank you.
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