Can A Urinary Tract Infection Be Prevented
Many methods have been suggested to reduce or prevent UTIs. The single most important prevention measure is increased fluid intake. Many people develop UTIs simply because they do not drink enough fluids. Some of these are considered home remedies and have been discussed . There are other suggestions that may help prevent UTIs. Good hygiene for males and females is useful. For females, wiping from front to back helps keep pathogens that may reside or pass through the anal opening away from the urethra. For males, retracting the foreskin before urinating reduces the chance of urine lingering at the urethral opening and acting as a culture media for pathogens. Incomplete bladder emptying and resisting the normal urge to urinate can allow pathogens to survive and replicate easier in a non-flowing system. Some clinicians recommend washing before and urinating soon after sex to reduce the chance of urethritis and cystitis. Many clinicians suggest that anything that causes a person irritation in the genital area may encourage UTI development. Wearing underwear that is somewhat adsorptive may help wick away urine drops that otherwise may be areas for pathogen growth.
Relationship Between Treatment Duration And Recurrence
In the overall cohort, longer treatment duration was not significantly associated with UTI recurrence . and show the results of separate logistic regression models assessing the association between treatment duration and UTI recurrence, for 4 subgroups of men with UTI, each subgroup defined by the complicating factors that were used as a basis for exclusion. In 3 of 4 subgroups, treatment duration longer than 7 days was associated with a higher risk of UTI recurrence. Relative to other subgroups, the magnitude of the association between treatment duration on UTI recurrence was the strongest in the subgroup that excluded BPH in addition to the complicating factors of prostatitis, pyelonephritis, and nephrolithiasis. To control each logistic regression model for potentially confounding variables, we included age, CCI index, presence of diabetes, department , race, and antibiotic type. None of these factors were significant and were therefore not included in the final model.
What If I Have Frequent Recurring Utis
Within a year of havig a UTI infection, roughy one-quarter to one-half of women will have another UTI. For these women antibiotic prophylaxis may be recommended by her health care provider. With a recurrent course of UTIs, a urine culture or imaging tests may be required for further analysis.
For recurrent UTIs, there are several antibiotic options for prevention:
- A shorter course of antibiotics at the first sign of UTI symptoms a prescription may be given to you to keep at home.
- A longer course of low-dose antibiotic therapy.
- Take a single dose of an antibiotic after sexual intercourse.
The choice of antibiotic is based on previous UTIs, effectiveness, and patient-specific factors such as allergies and cost. Antibiotics commonly used for recurrent UTIs can include sulfamethoxazole-trimethoprim, nitrofurantoin, cefaclor, or cephalexin.
In postmenopausal women with vaginal dryness that may be leading to recurrent UTIs, vaginal estrogen may be an effective treatment. Treatment options your doctor might recommend include: Estring, Vagifem , or vaginal estrogen creams .
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Check If It’s A Urinary Tract Infection
Symptoms of a UTI may include:
- pain or a burning sensation when peeing
- needing to pee more often than usual during the night
- pee that looks cloudy
- needing to pee suddenly or more urgently than usual
- needing to pee more often than usual
- lower tummy pain or pain in your back, just under the ribs
- a high temperature, or feeling hot and shivery
- a very low temperature below 36C
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.
Seven Days Of Therapy Just As Effective As 14 Days In Afebrile Men
byMike Bassett, Staff Writer, MedPage Today July 27, 2021
Seven days of antibiotic therapy for afebrile men with suspected urinary tract infections was as effective as a 14-day regimen, according to results from a randomized, double-blind trial.
In over 250 men with presumed symptomatic UTI included in the as-treated analysis, resolution of symptoms by 14 days after completion of antibiotic treatment occurred in 93.1% of the 7-day group compared with 90.2% of the 14-day group — a difference of 2.9%, which met the noninferiority criterion of 10%, reported Dimitri Drekonja, MD, of Minneapolis Veterans Affairs Health Care System, and colleagues in JAMA.
In the secondary as-randomized analysis of over 270 men, symptom resolution occurred in 91.9% of participants in the 7-day group compared with 90.4% in the 14-day group — a difference of 1.5%.
“The findings support the use of a 7-day course of ciprofloxacin or trimethoprim/sulfamethoxazole as an alternative to a 14-day course for treatment of afebrile men with UTI,” the authors concluded.
Shorter-duration antibiotic treatment has been shown to be as effective as long-duration treatment for infections including pneumonia, intra-abdominal infections, osteomyelitis, cellulitis, and UTI in women, and thus represent an important strategy for preserving the effectiveness of these drugs, noted Drekonja and colleagues.
Mike Bassett is a staff writer focusing on oncology and hematology. He is based in Massachusetts.
Vitamin C Kills Harmful Bacteria
Foods and fruits rich in vitamin C boosts immunity and prevents the growth of harmful bacteria in the urinary tract. It also makes the urine acidic enough to kill the infection-cause. So, any man who is already suffering from urinary tract infection must have foods that are enriched with vitamin C. Mango, papaya, strawberries, watermelon, kiwi, grapefruit, orange, berries, pineapple, cantaloupe are some of the fruits that are the rich sources of vitamin C. Other than these, you should also make broccoli, bell peppers, cauliflower, and tomatoes integral to your regular diet. This way, you will keep yourself safe from the troubles of urinary tract infections.
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Treatment Strategies For Recurrent Utis
Recurrent urinary tract infections, defined as three or more UTIs within 12 months, or two or more occurrences within six months, is very common among women these but arent treated exactly the same as standalone UTIs. One of the reasons: Continued intermittent courses of antibiotics are associated with allergic reactions, organ toxicities, future infection with resistant organisms, and more.
Because of this, its strongly recommended that you receive both a urinalysis and urine culture from your healthcare provider prior to initiating treatment. Once the results are in, the American Urological Association suggests that healthcare professionals do the following:
- Use first-line treatments. Nitrofurantoin, TMP-SMX, and fosfomycin are the initial go-tos. However, specific drug recommendations should be dependent on the local antibiogram. An antibiogram is a periodic summary of antimicrobial susceptibilities that helps track drug resistance trends.
- Repeat testing. If UTI symptoms persist after antimicrobial therapy, clinicians should repeat the urinalysis, urine culture, and antibiotic susceptibility testing to help guide further management.
- Try vaginal estrogen. For peri- and post-menopausal women with recurrent UTIs, vaginal estrogen therapy is recommended to reduce risk of future UTIs.
Predictors Of Antibiotic Choice
Age, CCI, and department were statistically significant predictors of antibiotic choice. Men 55 years and older were prescribed fluoroquinolones less frequently than younger men , but they were more likely to have been treated with nitrofurantoin . Patients with higher CCI were more likely to have been treated with a beta-lactam, irrespective of age . Patients seen in the urology department were also more likely to be treated with a beta-lactam and were less likely to be treated with TMP-SMX . Complicating factors, race, diabetes, BPH, and fever were not associated with antibiotic choice.
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How Can I Prevent Utis
If you’ve ever had a urinary tract infection, you know that once is more than enough. The good news is you may be able to prevent UTIs. Try these simple tips:
Drink a lot of fluids .
Pee when you need to. Don’t hold it.
Pee before and after sex.
Wash the skin around your anus and genitals with warm water and gentle soap.
Also, anything that touches or goes into your anus like a finger, penis, or sex toy should be thoroughly washed before touching other genitals.
If youve got a vulva, wipe from front to back after using the bathroom and keep your vulva clean and dry. You can do this by wearing underwear with a cotton crotch and not using douches, powder, or deodorant sprays in your vagina.
If you get frequent UTIs, drinking cranberry juice or taking cranberry supplement pills might help prevent them. If none of these things help, your nurse or doctor may give you a low dose antibiotic to take on a regular basis or after sex. So its also a good idea to talk to a doctor or nurse to see if there are any other reasons you might be getting UTIs.
Is There Treatment For Utis
Most UTIs are easy to treat. Treatment for UTIs is generally antibiotics, which get rid of the infection. You can also take over-the-counter pain medicine if you want.
Antibiotics are usually quick and effective most symptoms go away within a day or 2 of taking medicine. But be sure to finish all of your medicine, even if your symptoms go away. If you stop your UTI treatment early, the infection might still be there or could come back.
If your symptoms dont go away after a few days, or for more severe infections like a kidney or prostate infection, your doctor or nurse may recommend more tests, different medication, or refer you to a specialist.
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Latest Antibiotics For Utis
- Vabomere is a combination carbapenem antibiotic and beta-lactamase inhibitor. Vabomere was first approved in August of 2017.
- Vabomere is used for the treatment of adult patients with complicated urinary tract infections due to susceptible Escherichia coli, Klebsiella pneumoniae, Enterobacter cloacae species complex.
- Vabomere is given as an intravenous infusion every 8 hours. Dosage adjustments are required in patients with varying degrees of kidney impairment.
- Zemdri is an aminoglycoside antibacterial for the treatment of complicated urinary tract infections, including pyelonephritis. Zemdri was first approved in February of 2015.
- Zemdri is used against certain Enterobacteriaceae in patients who have limited or no alternative treatment options. Zemdri is an intravenous infusion, administered once daily.
See also: Treatment Options for UTIs
Shorter Course Of Antibiotics Effective For Uti In Men
A seven-day course of antibiotics was as effective as 14 days in treating urinary tract infection in afebrile men.
Seven days of antibiotics were found as effective as 14 days in treating urinary tract infections in afebrile men, in a randomized controlled trial assessing symptom resolution and following for recurrence among patients of 2 Veterans Affairs medical centers.
Dimitri Drekonja, MD, MS, Minneapolis VA Health Care System, Minnesota, and colleagues noted that UTI is among the most common indications for antibiotics, and reasoned that a study providing definitive evidence of the noninferiority of shorter treatments “has the potential to substantially decrease antimicrobial use, particularly for agents active against gram-negative bacteria, in which emerging resistance is of great concern.”
In an accompanying editorial, Daniel Morgan, MD, MS and Karen Coffey, MD, MPH, Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, point out that UTI in men has traditionally been treated for longer periods than in women, often assuming it is required for an infection that develops despite the relative anatomical barrier of the longer male urethra.
Morgan and Coffey also note that while the Infectious Disease Society of America has guidance for the treatment of uncomplicated UTI in women, there is no corresponding guideline for men, “due, in part, to limited data”.
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Over The Counter Medications For Urinary Tract Infections
- Brand names listed as examples do not imply better quality over other brands. Generic equivalents may also exist.
- Use only as directed on the package, unless your healthcare provider instructs you to do otherwise.
- OTCs may interact with other medications or be potentially harmful if you have certain medical conditions. Talk to your pharmacist about options that are right for you.
What About Antibiotic Resistance
Resistance rates for antibiotics are always variable based on local patterns in the community and specific risk factors for patients, such as recent antibiotic use, hospital stay or travel. If you have taken an antibiotic in the last 3 months or traveled internationally, be sure to tell your doctor.
High rates of antibiotic resistance are being seen with both ampicillin and amoxicillin for cystitis , although amoxicillin/clavulanate may still be an option. Other oral treatments with reported increasing rates of resistance include sulfamethoxazole and trimethoprim and the fluoroquinolones. Resistance rates for the oral cephalosporins and amoxicillin/clavulanate are still usually less than 10 percent.
Always finish taking your entire course of antibiotic unless your doctor tells you to stop. Keep taking your antibiotic even if you feel better and you think you don’t need your antibiotic anymore.
If you stop your treatment early, your infection may return quickly and you can develop resistance to the antibiotic you were using previously. Your antibiotic may not work as well the next time you use it.
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What Is The Outlook
The vast majority of men improve within a few days of starting treatment. See a doctor if you do not quickly improve. If your symptoms do not improve despite taking an antibiotic medicine then you may need an alternative antibiotic. This is because some germs are resistant to some types of antibiotics. This can be identified from tests done on your urine sample.
Occasionally the infection may spread and cause you to be more unwell. Infection in the bladder may spread to the kidney . Infection may also spread to involve the prostate gland, causing infection of the prostate gland . Occasionally it may lead to a swelling caused by a collection of pus in the prostate gland.
How To Use Augmentin Oral
Shake the bottle well before each dose. Carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose. Take this medication with a meal or snack as directed by the doctor. Depending on your specific product, this medication is usually taken every 8 or 12 hours.
The dosage is based on your age, weight, medical condition, and response to treatment.
For the best effect, take this antibiotic at evenly spaced times. To help you remember, take this medication at the same time every day.
Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may allow bacteria to continue to grow, which may result in a return of the infection.
Tell the doctor if your condition persists or worsens.
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What Are Treatments Available For Utis
Though UTIs are usually not serious or a sign of concern, they can cause severe pain and discomfort. If not treated, some UTIs can lead to more serious conditions that may have life-changing effects.
To alleviate this pain and discomfort, here are some tips!
Consult your doctor and he might prescribe some antibiotic medications which you will have to take either once or twice a day for 5-7 or more days.
We recommend drinking adequate fluids to stay hydrated and urinate often while taking your antibiotics. Many people prefer drinking cranberry juice to prevent UTIs but there is no strong evidence that supports this home remedy.
What To Do When Home Remedies Do Not Provide Permanent Relief
If the home remedies fail to bring you the desired results or the UTI flares up again, do not take it casually. Be very proactive and consult a specialist doctor for proper diagnosis and medications.Complete the course of antibiotics that your doctor prescribes and go for timely follow-ups until you are absolutely fine.
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Antibiotics For More Complicated Urinary Tract Infections
A different antibiotic may be better for a more severe or stubborn UTI. This may include a UTI that:
- Spreads to the kidneys
- Comes back
- Is not responding to treatment
Additionally, there is a medical category of complicated UTIs that may require a different antibiotic regimen.
Complicated UTIs include UTIs that occur:
- In a person with a childhood history of UTIs
- In a person with a weakened immune system
- In a child or postmenopausal woman
- During pregnancy
- With a medical condition, like diabetes
- With an abnormality of the urinary tract, like a stone, obstruction, catheter or kidney deformity
In these cases, a urine culture may be done to make the choice of antibiotic. A urine culture grows the bacteria from the urine so that it may be identified under a microscope and tested for antibiotic sensitivity. The best antibiotic will be determined by the culture and sensitivity results.
No matter what antibiotic your health care provider prescribes, it is important to take the entire course as directed. Stopping early can lead to antibiotic resistance.
If your antibiotic doesnt seem to be working and symptoms dont go away or come right back, let your health care provider know.