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Frequent Urination
Dear Doctor,
I need guidance for a persistent UTI and severe vaginal discharge/odor.
Symptoms: Burning urination, sharp urethral pain, hot urine feeling, frequent urination, lower abdominal pain, sticky white discharge, and strong odor on my underwear.
History: Prescribed multiple oral antibiotic courses (Cetil, Norflox TZ, Septran DS, Nitrobest) and vaginal suppositories (Candid V3/V6, Candel V6), but symptoms have not improved.
Urine Culture Results: E. coli isolated.
Resistant to: Nitrofurantoin, Cefixime, Levofloxacin, Fosfomycin, Amoxicillin-Clavulanic acid.
Sensitive to: Meropenem, Ceftriaxone, Gentamicin, Cefoperazone-Sulbactam, Amikacin.
Questions:
Since the infection is resistant to oral antibiotics, do I need immediate IV antibiotic therapy (e.g., IV Meropenem or Ceftriaxone)?
Is the panty odor/wetness due to a concurrent vaginal infection or the resistant UTI?
What is the correct combination of IV antibiotics and vaginal treatment to resolve bot
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A resistant infection like this usually does need IV antibiotics, and your report already lists which ones your E. coli responds to. The discharge and odor could point to a separate vaginal infection needing its own swab test.
Next Steps
Please take this report to a gynaecologist in person soon so the right IV antibiotic and vaginal treatment can be planned together.
Health Tips
Please don't start an IV antibiotic on your own, since a report alone doesn't always predict how you'll respond.
Answered
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