Weirdest UTI yet, which antibiotic?

[monkeygirl]

[Curt Leatherbee]

Hey Monkeygirl, long time no see on here. My suggestion would be to get on one of the meds listed with the S asap, nothing to fool around with, you don't want to end up in the hospital. Bring this list either to the ER or a Urgent care center ASAP and have them get you a Script and stay on it for the recommended time, generally 10 to 14 for us SCI's. Ya, that does sound like a weird one, normally Sulfa drugs work or Nitrofurantoin sounds like thats not the case with this bacteria that grew in your bladder. Especially as we get older it's important to get faster treatment as you could have Sepsis set in and that can be bad.

[gjnl]

How long of a course of each antibiotic has your doctor prescribed. Complex urinary tract infections should be treated for 12-14 days with an antibiotic to which the bacteria is sensitive. About two days later you should have another Urinalysis (UA) and a Culture & Sensitivity (C&S) before another antibiotic is prescribed.

Have you considered taking d mannose as an adjunct to the antibiotics?

A quick internet search shows that three of the antibiotics indicated with an "S" for sensitive meaning that the bacteria is sensitive to the antibiotic are IV/injection medications. Only one is an oral antibiotic.

All the best,
GJ

[gjnl]

How long of a course of each antibiotic has your doctor prescribed. Complex urinary tract infections should be treated for 12-14 days with an antibiotic to which the bacteria is sensitive. About two days later you should have another Urinalysis (UA) and a Culture & Sensitivity (C&S) before another antibiotic is prescribed.

Have you considered taking d mannose as an adjunct to the antibiotics?

All the best,
GJ

[hlh]

Fosfomycin is an old, old antibiotic, but it can work very well for UTIs.

That's the one, if you want to stay out of the hospital!

[monkeygirl]

Hey Curt! Yeah it's been a while.....yes Fosfomycin, it is, I'll go dr. tomorrow & get it.

[ctoom91]

You are colonized with an ESBL.Are you feverish? Don't take fosfo just for smelly urine,foso can become resistant too.In the US fosfo isn't covered and it's $75 dollars a dose.

[monkeygirl]

You are colonized with an ESBL.Are you feverish? Don't take fosfo just for smelly urine,foso can become resistant too.In the US fosfo isn't covered and it's $75 dollars a dose.

I'n not ferverish 37.8, not just smelly urine, the worst different smell ever. It looks like milk with chunks in it, hasn't been clear in a mth. the culture said:

ESCHERICHIA COLI OVER 100 M CFU/L.

I took the Monurol yesterday, it cost $20.13 here. Man you guys get ripped off, that's just ridiculous $55 more, should be illegal!

We'll see what happens, sure made me feel like shit though.

[ctoom91]

Just out of curiosity,what dosage were you prescribed?

[monkeygirl]

Just out of curiosity,what dosage were you prescribed?

1 3 gram packet. I wish all antibiotics were like this. One shot deal.

[Curt Leatherbee]

Great hopefully will help out, I remember I took a med once that was a one shot deal, think it was called Roseceffin or something like that, maybe get yourself a bottle of solaray D'mannose with Cranactin from Amazon or something, seems to really help out with the E coli for me. Drink lots of water too. Hope you get feeling better, Uti's suck.

[SCI-Nurse]

If you have symptoms associated with this Urine C&S, you need IV antibiotics because those are the only ones listed that are sensitive to the bacteria.

A few thoughts....How do you manage your bladder? intermittent self cath? Indwelling foley? suprapubic?
Have you ever had a prostate infection?

This will need to be treated by an infusion clinic for the IV antibiotics or you'll need someone to help administer them at home. AND you may want to consult an infectious disease provider. This is E Coli but not regular E Coli. This is a resistant strain of E Coli.

pbr

[monkeygirl]

If you have symptoms associated with this Urine C&S, you need IV antibiotics because those are the only ones listed that are sensitive to the bacteria.

A few thoughts....How do you manage your bladder? intermittent self cath? Indwelling foley? suprapubic?
Have you ever had a prostate infection?

This will need to be treated by an infusion clinic for the IV antibiotics or you'll need someone to help administer them at home. AND you may want to consult an infectious disease provider. This is E Coli but not regular E Coli. This is a resistant strain of E Coli.

pbr

self cath, no prostate. It says fosfomycin is also sensitive to it. Must have just missed it, it's the very last one.

[monkeygirl]

Urine colonization explanation please

Can someone refresh my memory on this please & thanks?

[Smashms]

In general you are colonized you have bacteria always in your urine but most of the time it causes no symptoms( fever, leaking, strong Odor, cloudy pussy urine, etc) in general I have been told everyone who caths or who has a permanent cath in place is always colonized. The urologist only treats a symptomatic UTI. As if they treat colonization you become resistant to all antibiotics.