Treatment Antibiotics are the main treatment for all UTIs. A variety of antibiotics are available, cipro choices depend on many factors, cipro 500mg bid for uti, including whether the infection is complicated or uncomplicated or primary or recurrent. Treatment for are also based on the type uti patient man or woman, a pregnant or nonpregnant woman, child, hospitalized or nonhospitalized patient, person with diabetes.
Treatment should not necessarily 500mg based on the actual bacteria count. For example, if a woman has symptoms, even if bacterial count is low or normal, infection bid probably present, and the doctor should consider antibiotic treatment. In such cases, a health professional provides the patients with 3-day antibiotic regimens without requiring an office urine test.
This course is recommended only for women at low risk for recurrent infection, who do not have symptoms such as vaginitis suggesting other problems. The following antibiotics are commonly used for uncomplicated UTIs: A single dose uti TMP-SMX is sometimes prescribed in mild cases, cipro cure rates are generally lower than with 3-day regimens. Allergies to sulfa are common and for be serious.
Fluoroquinolone antibiotics, also called quinolones, depakote and sleep disorder usually been a second choice.
Ciprofloxacin Cipro is the quinolone antibiotic most commonly prescribed. Quinolones are usually given over a 3-day period. Pregnant women should not take these drugs. Nitrofurantoin Furadantin, Macrodantin is a third option. This drug must be given 500mg longer than 3 days. Fosfomycin Monurol is not as effective as other antibiotics but may be used during pregnancy, cipro 500mg bid for uti.
Resistance bid to this drug are very low.
Other antibiotics may also be cipro, including amoxicillin with or without clavulanate and cephalosporins. Doxycycline is often effective but cannot be given to children or pregnant women. After a week of antibiotic treatment, most patients are free of infection. If the symptoms do not clear up within the first few days of therapy, doctors generally suggest that women discontinue their antibiotic and provide a urine sample for culturing in order to identify the specific organism causing the condition.
Treatment for Relapsing Infection. Relapse is treated similarly to a first infection, but the antibiotics are usually continued for 7 - 14 days. Relapsing infections may be due to structural abnormalities, abscesses, or other problems that may require surgery, and such conditions should be ruled out. Treatment for Recurrent Infections Women who have two or more symptomatic UTIs within 6 months or three or more over the course of a year 500mg need preventive antibiotics.
All women should use lifestyle measures to prevent recurrences. In general, this requires the following steps: As soon as the patient develops symptoms, bid takes the antibiotic. Infections that occur less than twice a uti are usually treated as if they were an initial attack, with single-dose or 3-day antibiotic for.
In some cases, cipro 500mg bid for uti, she also performs a clean-catch urine test before starting antibiotics and sends it to the doctor for culturing to confirm the infection. A woman should consult a for under the following circumstances: If symptoms have not gone away within 48 hours If there is a change in symptoms If the patient suspects that she is pregnant If the patient has more than four infections a year Women who are not good candidates for self-treatment are those with impaired immune systems, previous kidney infections, structural abnormalities of the urinary tract, or a history of infection with antibiotic-resistant bacteria.
If recurrent infections are clearly related to sexual activity and episodes recur more than two times within a 6-month period, a single preventive dose taken immediately after intercourse is effective. Fluoroquinolones are not appropriate during pregnancy. Continuous Preventive Antibiotics Prophylaxis. Continuous preventive prophylactic antibiotics are an option for some women who do not respond to other measures. With this approach, low-dose antibiotics are taken continuously for 6 months or longer.
Treatment for Kidney Infections Pyelonephritis Patients with uncomplicated kidney infections pyelonephritis may be treated at home with oral antibiotics. Patients with moderate-to-severe acute kidney infection and those with severe symptoms or other complications may need to be hospitalized.
In such cases, antibiotics are usually given intravenously for several days. Chronic pyelonephritis may require longterm antibiotic treatment. The antibiotics used during pregnancy include amoxicillin, ampicillin, nitrofurantoin, and cephalosporin. Fosfomycin Monurol is not as effective as others but may be used during pregnancy. Pregnant women should not take fluoroquinolones. They need screening and treatment for this condition.
In such cases, they should be treated with a short course of antibiotics 3 - 5 days. For an uncomplicated UTI, pregnant women may need longer-term antibiotics 7 - 10 days. Treating Children with UTIs. These uti are usually taken by mouth in either liquid or pill form.
Doctors sometimes give them as a shot or IV. Children usually respond to treatment within a few days. See "Risk Factors" section.
VUR can lead to kidney infection pyelonephritiswhich can cause kidney damage. The two treatment options for children with VUR are long-term antibiotics to prevent infections or surgery to correct the condition. However, there is debate as to the 500mg of these approaches. Recent studies indicate that preventive treatment with antibiotics may not be bid help for preventing recurrent urinary tract infections in children, and that VUR itself may not substantially increase the risk for recurrent UTIs.
Children with acute kidney infection are treated with oral cefixime Suprax or a short course 2 - 4 days of an intravenous IV antibiotic typically gentamicin, given in one daily dose. An oral antibiotic then cipro the IV, cipro 500mg bid for uti.
Management of Catheter-Induced Urinary Tract Infections Catheter-induced urinary tract infections are very common, and preventive measures are extremely important. Catheters should not be used unless absolutely necessary, and they should be removed as soon as possible. Reducing the risk for infections during long-term catheter use, however, remains problematic. Intermittent Use of Catheters.
If a catheter is required for long periods, it is best to use it intermittently if possible as opposed to an indwelling catheter. Some doctors recommend replacing it every 2 weeks to reduce the risk of infection and irrigating the bladder with antibiotics between replacements.
A typical catheter is one that has been preconnected and sealed and uses a drainage bag system. To prevent infection, some of the following tips may be helpful: Drink plenty of fluids, including 3 glasses of cranberry juice a day. The catheter tube should be free of any knots or kinks.
Clean the catheter and the area around the urethra with soap and water daily and after each bowel movement. Women should be sure to clean front to back.
Wash hands before touching the catheter or surrounding area. Never disconnect the catheter from the drainage bag without cipro instructions from a health professional on strict methods for preventing infection. Keep for drainage bag off the bid. Stabilize the bag against the leg using tape or some other system, cipro 500mg bid for uti. Antibiotics for Catheter-Induced Infections. Patients using catheters who develop UTIs with symptoms should be treated for each episode with antibiotics and the catheter should be removed, if possible, or changed.
A major problem in treating catheter-related UTIs 500mg that the organisms involved are constantly changing. Because there are likely to be multiple species of bacteria, doctors generally recommend an antibiotic that is effective against a wide variety uti microorganisms. Although high bacteria uti in the urine for occur in most cipro patients, administering antibiotics to prevent a UTI is rarely recommended, cipro 500mg bid for uti. Many catheterized patients do bid develop cipro urinary tract infections even with high bacteria counts.
If bacteriuria occurs without symptoms, antibiotic therapy has little benefit if the catheter is to remain in place for a long period. Catheterization is accomplished by inserting a catheter a hollow tube, often with an inflatable balloon 500mg into bid urinary bladder.
This procedure is performed for urinary obstruction, following surgical procedures to the urethra, in unconscious patients due to surgical anesthesia or comafor for any other problem in which the bladder needs to be kept empty decompressed and urinary flow assured.
Catheterization in males uti slightly more difficult and 500mg than in females because of the longer urethra.
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