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Can Cefotaxime be used for UTI in diabetic patient?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 44 years old male and diabetic for past ten years. I have been having UTI almost for three days a week and have been taking Norflox 400 twice a day. I was an alcoholic taking 12 fluid ounces of brandy every day and recently a month back, I have quit that habit. I now want to focus on my health. I went to a diabetic center and started Trulicity for weekly insulin for sugar control. I gave urine culture ten days back and the report shows Enterococcus faecalis with a colony count greater than 1000000 and only four antibiotics as susceptible, namely, Cefotaxime, Meropenem, Imipenem, and Vancomycin. My diabetic doctor has prescribed Meronem 500 mg injection twice a day for five days. My question is, I cannot afford Meronem 500 mg as 10 injections are very expensive, and I found that Cefotaxime is the cheapest among the four of them. Can I have that injected for five days, twice a day?

Answered by Dr. Ram Naresh Daga

Education:

MBBS

Professional Bio:

Dr. Ram Naresh Daga is a General Surgeon specializing in Urology. He can do surgical treatment of urinary tract disorders, including kidney, bladder, and urethral conditions. He can manage prostate diseases, including benign prostatic hyperplasia and prostate cancer. He does stone disease management, including kidney and ureteral stone removal. He does endoscopic and minimally invasive urological procedures. He can diagnose and treat urinary incontinence and infections. He can treat erectile dysfunction and provide infertility care.  

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Yes, you can take Cefotaxime 1 gm twice a day for five days after a test dose for allergy. Controlling your blood glucose levels will help to lower the episodes of UTI (urinary tract infection). Also, get a sonography done with pre and post void urine.

Patient's Query

Hello doctor,

Thank you for the reply,

I have a couple of doubts, what is the injection name, please. Can it be given as IV direct? Or slow infusion drips? Is it 1 g or 500 mg? Is USG alone enough? Or should I take culture again? Is there an oral alternative?

Answered by Dr. Ram Naresh Daga

Education:

MBBS

Professional Bio:

Dr. Ram Naresh Daga is a General Surgeon specializing in Urology. He can do surgical treatment of urinary tract disorders, including kidney, bladder, and urethral conditions. He can manage prostate diseases, including benign prostatic hyperplasia and prostate cancer. He does stone disease management, including kidney and ureteral stone removal. He does endoscopic and minimally invasive urological procedures. He can diagnose and treat urinary incontinence and infections. He can treat erectile dysfunction and provide infertility care.  

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

Injection Taxim (Cefixime and Ofloxacin) 1 gm IV twice daily diluted in 3 fluid ounces of NS (normal saline) over 20 to 30 minutes after test dose, when serum creatinine is normal. For adults, the dosage is 1 gm twice a day. Also please send me your body weight and serum creatinine levels (that is used for dose calculation). Urine culture should be repeated five days after completion of antibiotics to check whether the infection is completely eradicated.

Medically reviewed by Dr. K. Shobana
Published At April 23, 2018
Reviewed At January 18, 2024

Education:

MBBS

Professional Bio:

Dr. Ram Naresh Daga is a General Surgeon specializing in Urology. He can do surgical treatment of urinary tract disorders, including kidney, bladder, and urethral conditions. He can manage prostate diseases, including benign prostatic hyperplasia and prostate cancer. He does stone disease management, including kidney and ureteral stone removal. He does endoscopic and minimally invasive urological procedures. He can diagnose and treat urinary incontinence and infections. He can treat erectile dysfunction and provide infertility care.  

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Ram Naresh Daga is a General Surgeon specializing in Urology. He can do surgical treatment of urinary tract disorders, including kidney, bladder, and urethral conditions. He can manage prostate diseases, including benign prostatic hyperplasia and prostate cancer. He does stone disease management, including kidney and ureteral stone removal. He does endoscopic and minimally invasive urological procedures. He can diagnose and treat urinary incontinence and infections. He can treat erectile dysfunction and provide infertility care.  

This doctor is not available for online consultations on the platform anymore.

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