Dr. Saurabh Subhash Pandya
Urology
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Patient's Query
Hi doctor,
I am a 51 year old male. I had a urinary tract infection, and it was diagnosed as coagulase-negative Staphylococci. The laboratory report advised using Macrobid or Cloxacillin. Two weeks ago, I had Sulfa drugs, a combination of Sulfamethoxazole and Trimethoprim and Macrobid. The infection came back within seven days. The urine is cloudy with leukocytes and nitrates positive. Do you want me to try Augmentin and Macrobid now? I would prefer to use a narrow scope or spectrum Cloxacillin versus Augmentin. I have some a little pain in the urethra and no other symptoms than the cloudy urine.
Hi,
Welcome to icliniq.com.
You are having recurrent or persistent urinary infection. It could be due to incorrect antibiotic or inadequate duration or due to prostatitis. You need to repeat a urine culture after retracting the foreskin and taking midstream sample. If your doctor can do a prostatic examination and massage, then a post-prostatic massage urine culture is the best. You also may have an enlarged private, which needs a sonography and a uroflow study. Streptococcus are usually skin contaminants. Prostatitis needs 1.5 months course of antibiotics preferably Levo or Ofloxacin. Enlarged prostate needs alpha blocker tablets. And rarely, Chlamydia can be a culprit.
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