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My Urine Culture And Sensivity Report Showed E.coli Count Greater

Posted on Wed, 31 Oct 2018

Question: My urine culture and sensivity report showed E.coli count greater than 100000 ,suffering from past 20 days , sensitve to amikacin,cefepime,cefepime/tazobactam,impenium, meropenem,piperacillin,colistine , used amikacin 500 for first 7 days and faronem (3 tablets of 200mg) for another 10 more days but no use, now doctor gave me both faronem (2 tablets 200) and amikacine 750mg for a day,still problem exists,done ultra sound and urometry test every thing is normal,my problem is urination once every hour through out 24 hours and continuous urge to urinate , please sugest some oral tablets for clearing my uti and frequent urination

Answered by Dr. Ravi Bansal (1 hour later)

Brief Answer:
Significant uti

Detailed Answer:
Hi.
you have a significanturine infection which has not responded to oral antibiotics trial. i would stronglysuggest to not to waste timein oralmedications. this could lead todangerous spread of infection .

best way is to start injectable treatment without wasting any time.

as per your culture report best would be iperacillin and tazobactum 4.5 gm infusion in saline 3 times a day under guidence of your treating doctor.

you should judge the response in 3 days . if imroving treatment should continue for 10 days followed by tablets for 1 week

best wishes.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Ravi Bansal (22 hours later)

My doctor who is urologist is advising me to continue feronem for few more days even after i told about this piperacillin and tazobactum . He is saying those are powerfull iv medicines, he is advising me to do culture. And sensivity test again and plan medication based on that, can you advice any oral medicines related to this piperacillin or any other medicines to treat my uti.

Answered by Dr. Ravi Bansal (1 hour later)

Brief Answer:
Hi

Detailed Answer:
hi,

i will stic to my opinion given earlier.
there are no tablets related to piperacillin.

in any case follow your treating doctors advice.

best wishes

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Ravi Bansal (37 minutes later)

Sir,
Thanks for your advice, one more query is yesterday my wife also tested positive for urine inferction, is this urine infection contiguous or do we have any sexual transmited diseases, i dont have any white discharge, to rule out any stds, what tests do i need to do and what medications to be followed by both of us, please guide us or prescribe any medications.

Follow up: Dr. Ravi Bansal (25 hours later)

Please give answer

Answered by Dr. Ravi Bansal (41 minutes later)

Brief Answer:
Not contagious

Detailed Answer:
hi, this disease is not contagious . on the other hand. there is risk to your wife for repeat infection episodes if you have sexual relation at present. so my sugestion is not to have physical relation for 1 month

best wishes

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Above answer was peer-reviewed by : Dr. Remy Koshy