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Thursday, December 5, 2013
Urinary Tract infection
My mother is aged about 70 years having diabetes (using oral tables ) & hypertension for more than 20 years also diagnosed for Urinary tract infection for more than 3 years. This year alone she has been hospitalized due UTI many a times pus cells found plenty in microscope exam with presence of bacteria and trace of protein. Every time she got hospitalized she was treated with antibiotics. But till date she is continuously diagnosed with pus cells between 4-6,6-8,8-10,10-15 and Epithelial cells between 1-2,2-4,8-10,6-8 ( in 4 tests during last 20 days) also presence of Bacteria and Protein and No trace of RBC. At this time she is under antibiotics. What is the solution?
Recurrent infections can be caused by either an incompletely treated nidus of infection for instance a kidney or bladder stone or new infections each item. The question should be asked if it is the same bacteria every time or not. Then she needs a complete evaluation including an IVP or CT Urogram, including a voiding study and a Cystoscopy. Many times women are just given antibiotics without further study. At this point I would make sure a Urologist has been consulted and an evaluation has been done.
Marc F Cymes, PA
Clinical Instructor of Urology
School of Medicine
Case Western Reserve University