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What Antibiotics Best Treat A Urinary Tract Infection

Do You Need To See A Doctor To Get Antibiotics For A Uti

Why is it important to treat UTIs with antibiotics?

You need to speak with your doctor or a licensed medical professional to be prescribed antibiotics for a UTI. This can usually be done in person, at the doctor, or over the phone.

If this is your first UTI or your symptoms are severe it may be helpful to get treated in person to rule out the possibility of sexually transmitted infections.

Treating A Uti From Other Causes

In some patients, recurrent infections occur without a clearly identifiable cause and then patients may be put on prophylactic antibiotics which are a low, daily dose, to help prevent infection. This is rare as our Guidance® UTI Test more accurately identifies not only the more common bacteria, but also the uncommon bacteria that other available tests would not detect – including fungi and viruses.

What Antibiotics Are Commonly Used To Treat Urinary Tract Infections

A handful of antibiotics are used to treat the most common urinary tract infections . In 75-95% of these cases, the infection is caused by bacteria called Escherichia coli , so experts know which antibiotics work well against the infection. These antibiotics are called first-line antibiotics.

They are given orally and include:

Amoxicillin and ampicillin are no longer used because of a high level of antibiotic resistance.

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Cranberry Juice Might Help

Huge chaos is going on on the topic of whether unsweetened cranberry juice is useful for Urinary tract infection or not. Many people believe that the acidity of cranberry helps to kill bacteria like E.coli. But it doesn’t work for everyone. Even if unsweetened cranberry juice, extract, or pills is helpful for Urinary tract infection, it hasn’t been yet found how much it should be taken and how long will it take to cure the problem completely.

Research has shown that cranberry doesn’t allow the bacteria to set in the urinary tract. Scientists said that cranberry makes the walls of the urinary tract slippery so that bacteria are not able to make their home there. And it flushes out the bacteria through urine.

However, this evidence fits on some people and doesn’t fit for all. Extensive research is still required to find the answer to these questions.

Bottom Line – Unsweetened cranberry juice, extract, or pills might prove to be helpful in Urinary tract infection. However, keep in mind that unsweetened cranberry contains higher acidic contents. It might not be digestible by some people.

Creating Stronger Strains Of Bacteria

ASK DIS: Urinary Tract Infection: Antibiotics in Adults

Over time, some species of bacteria have become resistant to traditional antibiotics. According to some research , several species of E. coli, the primary cause of UTIs, are showing increasing drug resistance.

The more a person uses an antibiotic, the greater the risk of the bacteria developing resistance. This is even more likely when people do not follow a doctors instructions to complete the full prescribed course of treatment.

It is essential to continue a course of antibiotics until the end date that the doctor provides. People should also never share antibiotics with others.

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Physical Examination And Diagnostic Testing

The physical examination of patients with acute uncomplicated cystitis is typically normal, except in the 10 to 20 percent of women with suprapubic tenderness.10 Acute pyelonephritis should be suspected if the patient is ill-appearing and seems uncomfortable, particularly if she has concomitant fever, tachycardia, or costovertebral angle tenderness.

Further studies beyond urinalysis and urine cultures are rarely needed to diagnose acute uncomplicated cystitis. Patients who present with atypical symptoms of acute uncomplicated cystitis and those who do not respond to appropriate antimicrobial therapy may need imaging studies, such as computed tomography or ultrasonography, to rule out complications and other disorders.

Practice Good Sexual Hygiene

The also says that sexual intercourse introduces bacteria and other microbes from outside the body to the urinary tract. Practicing good sexual hygiene can help to reduce the number of bacteria that people can transfer during intercourse and other sexual acts.

Examples of good sexual hygiene include:

  • urinating before and immediately after sex
  • using barrier contraception, such as a condom
  • washing the genitals, especially the foreskin, before and after engaging in sexual acts or intercourse
  • washing the genitals or changing condoms if switching from anal sex to vaginal sex
  • ensuring that sexual partners are aware of any current or previous UTIs

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How Do I Know If The Treatment Isnt Working

If the treatment isnt working, your symptoms will stay the same, get worse, or you will develop new symptoms. Call your doctor if you have a fever , chills, lower stomach pain, nausea, and vomiting. You should also call your doctor if, after taking medicine for 3 days, you still have a burning feeling when you urinate. If you are pregnant, you should also call your doctor if you have any contractions.

Whats The Difference Between A Urinary Tract Infection And Bladder Infection

What are some common antibiotics used to treat UTIs?

A urinary tract infection is a more general type of infection. There are many parts of your urinary tract. A UTI is a term for an infection that takes place throughout the urinary tract. A bladder infection, also called cystitis, is a specific infection. In this infection, bacteria makes its way into the bladder and causes inflammation.

Not all urinary tract infections become bladder infections. Preventing the spread of the infection is one of the most important reasons to treat a UTI quickly when you have symptoms. The infection can spread not only to the bladder, but also into your kidneys, which is a more complicated type of infection than a UTI.

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Antibiotics That Shouldn’t Be A First Choice For Uncomplicated Utis

Other antibiotics appear to be overused, and some physicians may misuse non-recommended antibiotics as first-line treatments. Ciprofloxacin is used in 35% of uncomplicated UTIs, while levofloxacin is used in 2%. These antibiotics can be important treatments in some cases of more complicated UTIs, but can have dangerous side effects.

The U.S. Food and Drug Administration warns that the use of these drugs should be restricted because of their potentially disabling side effects involving tendons, muscles, joints, nerves and the central nervous system. Additionally, in many parts of the country, bacteria commonly causing UTIs are becoming resistant to these antibiotics.

Diagnosis For A Urinary Tract Infection

A licensed healthcare professional can diagnose a UTI. You may need to undergo the following tests or procedures in order to receive a positive diagnosis:

  • Urine sample: Your doctor may ask for a urine sample to examine white blood cells, red blood cells, or bacteria.
  • Lab analysis: The doctor determines which bacteria are causing the infection and decides which medication will work the best.
  • Computerized tomography or magnetic resonance imaging scan: Your doctor may ask you to get one of these medical imaging techniques if youre experiencing frequent UTIs.
  • Cystoscopy: A medical procedure where a doctor inserts a tube with a lens to see inside your bladder.

Depending on the results of your tests or procedures, your healthcare provider will help you determine the best treatment option.

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How Fast Does Amoxicillin Work For A Uti

  • How Fast Does Amoxicillin Work for a UTI? Center
  • Many people experience a urinary tract infection at some point in their lifetime. This infection occurs when bacteria invade the urinary system from outside the body. UTIs can cause infection and inflammation. Doctors commonly prescribe antibiotics such as amoxicillin to treat urinary tract infections and help you feel better.

    The Link Between Sex And Utis

    Antibiotics recommended for the treatment of urinary tract ...

    To understand why sex causes UTIs, it helps to know that most UTIs are caused by bacteria from the gastrointestinal tract.

    Over 80% of UTIs are caused by E. coli bacteria. These germs are normal and common inside our intestines, where they help with digestion without making us sick.

    The other 20% of bacteria that cause UTIs are mostly:

    • Staphylococcus saprophyticus

    • Enterobacter species

    These types of bacteria are also common in the digestive tracts of healthy people.

    Bacteria from the gastrointestinal tract can often be found on the skin around the rectum. In people with typically female genitals, the rectum is in the back, the urethra is in the front, and the vagina is in the middle. Having sex can force bacteria from the rectal area forward, toward the vagina and the urethra. Anything that pushes germs toward the opening of the urethra increases your chance of infection.

    Some types of contraceptives contribute to sex-related UTIs as well. Spermicides, including the spermicides on some condoms, change the interaction between bacteria and skin cells by making it easier for bacteria to attach to the inside of the urethra. Contraceptive diaphragms are also associated with UTIs. In addition to containing a spermicide, a diaphragm can press on the urethra and cause urine to become trapped. This interferes with how urine flow can help wash bacteria out of the urethra.

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    Other Antibiotics And Treatments For Urinary Tract Infections

    Other antibiotics may be as effective as first-line antibiotics but have more side effects or risks of complications. They are not commonly used. They include:

    • Fluoroquinolones
    • Ciprofloxacin
    • Levofloxacin

    Antibiotics called beta-lactams may be used when other first-line antibiotics are unavailable or cannot be used for any other reason. They include:

    • Amoxicillin-clavulanate
    • Cefdinir
    • Cefaclor

    These are not usually first-line choices because they are broad-spectrum antibiotics that have a higher risk of causing antibiotic resistance.

    Another drug that is frequently prescribed for a UTI is phenazopyridine, available under several brand names such as Pyridium. This medication is not an antibiotic and does not cure a UTI. It is used to relieve symptoms of pain, burning, urgency and pressure.

    What Happens When A Uti Goes Untreated

    Thanks to early diagnosis and proper treatment, the vast majority of lower urinary tract infections result in no complications. However, if left untreated, a UTI can have serious ramifications notes the Mayo Clinic, including:

    • Recurrent UTIs
    • Premature birth and low birth weight
    • Kidney damage, which can occur is an untreated UTI spreads from the bladder to the kidneys.

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    Switch Birth Control Methods

    Spermicide use is a very strong risk factor for UTIs, especially when used with a diaphragm. Spermicides alter the natural bacteria balance in the vagina and increase the chance that other more hostile bacteria can settle in. Just an FYI: Sexual intercourse is one of the strongest risk factors for UTIs. Reducing the frequency of intercourse or intermittent abstinence may be beneficial for some people, but thats for you to decide!

    Is It Possible To Prevent Recurrent Urinary Tract Infections With A Vaccine

    UTI Treatment

    Currently, there are no commercially available vaccines for UTIs, either recurrent or first-time infections. One of the problems in developing a vaccine is that so many different organisms can cause infection a single vaccine would be difficult to synthesize to cover them all. Even with E. coli causing about most infections, the subtle changes in antigenic structures that vary from strain to strain further complicates vaccine development even for E. coli. Researchers are still investigating ways to overcome the problems in UTI vaccine development.

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    International Clinical Practice Guidelines

    In 2010, a panel of international experts updated the 1999 Infectious Diseases Society of America guidelines on the treatment of acute uncomplicated cystitis and pyelonephritis in women. The panel reviewed the literature, including the Cochrane Database of Systematic Reviews, and provided an evidence-based guideline for women with uncomplicated bacterial cystitis and pyelonephritis.16,17 The IDSA collaborated with the European Society of Clinical Microbiology and Infectious Diseases, and invited representation from diverse geographic areas and a wide variety of specialties, including urology, obstetrics and gynecology, emergency medicine, family medicine, internal medicine, and infectious diseases. Levels-of-evidence ratings were assigned to recommendations on the use of antimicrobials for the treatment of uncomplicated UTIs.

    Alternative Therapeutic Options To Antibiotics For The Treatment Of Urinary Tract Infections

    • 1VBMI, INSERM U1047, Université de Montpellier, Service des Maladies Infectieuses et Tropicales, CHU Nîmes, Nîmes, France
    • 2VBMI, INSERM U1047, Université de Montpellier, Service de Microbiologie et Hygiène Hospitalière, CHU Nîmes, Nîmes, France
    • 3Service des Maladies Infectieuses, AP-HP Raymond-Poincaré, Garches, France
    • 4PRES Centre Val de Loire, Université François Rabelais de Tours, Tours, France
    • 5Service des Maladies Infectieuses, CHU Tours, Tours, France
    • 6Service dUrologie, CHU Tours, Tours, France

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    Antibiotics Used For Complicated Utis

    Before getting into how to best treat a complicated UTI, its important to understand which UTIs are considered complicated. Here are some guidelines:

    • Urinary tract abnormalities are present
    • Youre pregnant
    • The patient is a child
    • A comorbidity is present that increases risk of infection or treatment resistance, such as poorly controlled diabetes
    • Youre a man, since most UTIs in men are considered complicated
    • Youre elderly

    Kidney infections are often treated as a complicated UTI as well, notes the Merck Manual.

    If a UTI is complicated, a different course of antibiotics may be required. And the initial dose of antibiotics may be started intravenously in the hospital. After that, antibiotics are given orally at home. In addition, follow-up urine cultures are generally recommended within 10 to 14 days after treatment. Not all of the antibiotics approved for uncomplicated UTIs are appropriate for the complicated version. Some that are considered appropriate, include:

    What Is The Best Antibiotic For Urinary Tract Infection

    Episode 69 â Urinary Tract Infections

    The urinary tract is comprised of the ureters , kidneys, bladder, and urethra . Urinary tract infections wake forest nc are most commonly located in the urethra and bladder and while typically caused by bacteria, UTIs can also be viral or fungal. For patients suffering from a bacterial UTI, they may be curious about what antibiotics are the best for treating their infection.

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    Can Uti Symptoms Linger After I Take Antibiotics

    Since UTI symptoms usually improve just a few days after starting antibiotics, youll want to talk to your healthcare provider if you notice that UTI symptoms are still hanging around after finishing your antibiotics.

    Theres no need to panic, but you and your healthcare provider will want to make sure the antibiotics actually worked against your UTI. To do this, they may take another sample of your urine to see if the bacteria are still there or not. If the infection is cured, youll want to be sure there isnt a different issue thats causing similar symptoms.

    When To See A Doctor

    If you have signs of a UTI, talk to your doctor or healthcare provider.

    While not all UTIs require antibiotics, most of them do.

    Leaving a UTI untreated can result in serious complications such as a kidney infection.

    If a healthcare provider prescribes amoxicillin-clavulanate potassium for a UTI and you experience any serious side effects, contact them.

    But if you think youre having an allergic reaction, head to the emergency room or call 911.

    Also contact your doctor if your UTI doesnt appear to clear after finishing the full course of antibiotics or if symptoms worsen.

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    Antibiotics For Acute And Uncomplicated Urinary Tract Infections

    First-line treatment for an uncomplicated UTI may start with a single dose of fosfomycin or nitrofurantoin twice per day for five days, or sulfamethoxazole-trimethoprim twice per day for three days. These medications can be started based on your symptoms and urinalysis results, and should be effective in most cases.

    Although much less common, men may also get this type of UTI. The choice of antibiotics is the same, but they may be given for a longer time because bacteria may move into the prostate gland and take longer to treat.

    When doctors diagnose an uncomplicated UTI, they are usually diagnosing a type of UTI called cystitis, which means a bladder infection. In fact, the terms UTI, cystitis and bladder infection are often used interchangeably. Acute uncomplicated cystitis is another medical term for a common UTI that has not spread or become severe.

    The term uncomplicated refers to a simple UTI found in a generally healthy adult who:

    • Is not pregnant or postmenopausal
    • Is not immunocompromised
    • Has no structural abnormalities in the urinary tract
    • Has no other diseases

    What Is A Uti

    I took antibiotics for a urinary tract infection, but don’t feel quite better yet. What should I do?

    Urinary tract infection is a common health problem. Between 40% and 60% of women will have at least one UTI in their lifetime. A UTI happens when bacteria from your skin or rectum get into the urinary tract. When this happens, it causes infection and inflammation. This results in symptoms such as pain with urination and needing to urinate frequently. In most cases, UTIs are easily treated with antibiotics taken by mouth.

    UTIs are most common in women who have a vulva and vagina, but they can happen in women with other types of genitals as well. Every womans anatomy is unique, which means some women are more prone to infections than others.

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    How Long Do You Need To Take Antibiotics For A Uti

    Antibiotics are typically prescribed for 3-7 days. The course may be extended or the prescription may change if the initial course fails to treat the infection.

    For antibiotic therapy to be effective, you need to take the drugs as instructed. Many times, symptoms may seem to resolve before you complete the entire course of antibiotics. However, avoid discontinuing the course of treatment and continue to take the doses as prescribed.

    If you are a female and suffer from frequent UTIs, your doctor may ask you to:

    • Take a single dose of antibiotic after intercourse
    • Take low-dose antibiotics for up to 5 months
    • Undergo vaginal estrogen therapy if you are menopausal

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