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Last Saturday Night I Had Blood In Urine And Burning Sensation. Blood Goes Away Next Day But Light Burning Sensation And Fever Continued Please Suggest A Good Antibiotic To Cure UTI With ESBL?
Posted on
Wed, 15 Aug 2018
Wed, 15 Aug 2018
Answered on
Fri, 24 Feb 2023
Last reviewed on
Question : Hello sir,
i am a 36 year old male.
last saturday night i had blood in urine and burning sensation. Blood goes away next day but light buring sensation and fever continued. urine routine and culture test done.. started taking levofloxacin twice a day and crocin 650.. fever went down but again came up after 5-6 hours.. today after 4 days its still 99.8.. received culture report today and its showing ESBL positive.. Please suggest a good antibiotic to cure UTI with ESBL.. shall i start taking Niftas.
i am a 36 year old male.
last saturday night i had blood in urine and burning sensation. Blood goes away next day but light buring sensation and fever continued. urine routine and culture test done.. started taking levofloxacin twice a day and crocin 650.. fever went down but again came up after 5-6 hours.. today after 4 days its still 99.8.. received culture report today and its showing ESBL positive.. Please suggest a good antibiotic to cure UTI with ESBL.. shall i start taking Niftas.
Brief Answer:
Amikacin injections...
Detailed Answer:
Hi,
The culture reports reveals significant E coli growth and fluroquinolone drugs like ofloxacin as well as norflox are resistant. In such case, I would prefer you to be treated with amikacin injections twice daily for 5 -7 days.
Niftas will also be an alternative treatment as report show that organisms are sensitive to nitrofurantoin.
Discuss both the options with your treating doctor. It is important that you condition and response to medications are monitored by the doctor.
Hope this answers your question. Let me know if you need clarifications.
Regards
Amikacin injections...
Detailed Answer:
Hi,
The culture reports reveals significant E coli growth and fluroquinolone drugs like ofloxacin as well as norflox are resistant. In such case, I would prefer you to be treated with amikacin injections twice daily for 5 -7 days.
Niftas will also be an alternative treatment as report show that organisms are sensitive to nitrofurantoin.
Discuss both the options with your treating doctor. It is important that you condition and response to medications are monitored by the doctor.
Hope this answers your question. Let me know if you need clarifications.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Amikacin > nitrofurantoin.
Detailed Answer:
Hi,
In my clinic I prefer injectable amikacin while treating E coli urinary tract infections. If it isn't feasible to take every day injections, nitrofurantoin (Niftas) is my second choice.
You may as well continue niftas now if you have already started it.
Discuss with your treating doctor and get the treatment / progress monitored. Based on your response / repeat urine test, drugs may be changed accordingly.
Hope this helped. Let me know if you have any other concerns.
Regards
Amikacin > nitrofurantoin.
Detailed Answer:
Hi,
In my clinic I prefer injectable amikacin while treating E coli urinary tract infections. If it isn't feasible to take every day injections, nitrofurantoin (Niftas) is my second choice.
You may as well continue niftas now if you have already started it.
Discuss with your treating doctor and get the treatment / progress monitored. Based on your response / repeat urine test, drugs may be changed accordingly.
Hope this helped. Let me know if you have any other concerns.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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