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Uti treatment
15 days ago I have uti positive result. And completely 7 days consume nitrofuratoin tablet but now not improve frequently urine pass 15-17 times per day. Now what can i do?
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Your culture sensitivity report shows Resistance to Ciprofloxacin, Nalidixic acid, Ampicillin, Amoxycillin and even Nitrofurantoin titre is 32 which is virtually ineffective. You should have been given injectable Gentamycin or Amikacin to which the bacteria are reported to be sensitive.
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There can be many reasons
1) The dose which you were given was inadequate
2) course was short
3) infection is resistant to this antibiotic
4) get blood sugar tested
5) infection is high up in kidney, so oral medicine not helping
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Hello ,got your concern ,it can be treatable with further evaluation, better healthcare and proper treatment ..For prescription and counselling regarding the same you can consult me through this app - Dr Hemanth Patakamuri
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Repeat investigations. Consult for complete guidance
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You have to get repeat urine RE/ME and culture done.
With the present report I would have preferred to use Ceftriaxone because the spectrum of activity of Ceftriaxone is much wider than that of Nitrofurantoin
Anyway now you should wait for the next culture report.
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Repeat routine urine... May need to add another antibiotic.... Symptomatic treatment till then.
Consult on practo
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Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult.
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Please get Urine test again to see the current status
Next Steps
please consult me on practo
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
CAN HELP YOU, KINDLY PROVIDE ME DETAILED HISTORY FOR PROPER DIAGNOSIS AND FURTHER MANAGEMENT
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Dr. Jeevan Kumar
General Medicine
6 yrs exp
Karimnagar
Repeat cue
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Dr. Raja Kaamil
Gastroenterologist
7 yrs exp
Delhi
The MIC for Nitrofurantoin is very high.. very unlikely to have effect.. ideally if you have severe infection..
Repeat a urine examination.. if it is still showing pus cells.. may need injectables..
Can take Flovxate 200mg Bd for 5 days meanwhile..
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