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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For E.coli Infection And Pus Cells In Urine

Hi...my mother underwent routine urine check up and test showed presence of pus cells. Further urine culture was done which showed significant infection of E.coli. she also underwent CRP test which came out to be positive. She suffers from mild fever and severe body aches with inflammation over limbs. Plz suggest treatment for her. Thanx
posted on Tue, 8 Mar 2016
Twitter Wed, 23 Mar 2016 Answered on
Twitter Wed, 23 Mar 2016 Last reviewed on
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General & Family Physician,  's  Response
Hello dear,
Understand your concern
As per your history your mother is suffering from UTI

Causative factor:
E. coli, Staphylococcus saprophyticus (10 to 15 percent). Enterococcus, Klebsiella, Enterobacter, and Proteus
Diabetes mellitus, neurologic conditions, chronic institutional residence,

Treatment are below
1. three day course of trimethoprim/sulfamethoxazole (TMPSMX; Bactrim, Septra) is the current standard therapy,
2. with three days of trimethoprim or a fluoroquinolone (i.e., ofloxacin, norfloxacin [Noroxin], or ciprofloxacin [Cipro]) being equally effective.

3. Fluoroquinolones and nitrofurantoin become better options in your case for TMP-SMX resistance increases.

4.If oral drug is not possible, take ceftazidime parentrally.
You should shift to oral therapy with in 72 hr as you able to tolerate oral drugs.
Follow up urine culture after 14 days to confirm the eradication of bacteria.

Take plenty of water
Tablet Paracetamol 500 mg thrre times a day if fever is present.
tablet cetrizine 4 mg twice daily if itching
Maintain hygiene around pubic area
Drink fruit juice of cranberry and orange.
Hope this advice help you..
Thank you.
Get well soon.

Best regards
Dr. Sagar
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Suggest Treatment For E.coli Infection And Pus Cells In Urine

Hello dear, Understand your concern As per your history your mother is suffering from UTI Causative factor: E. coli, Staphylococcus saprophyticus (10 to 15 percent). Enterococcus, Klebsiella, Enterobacter, and Proteus Diabetes mellitus, neurologic conditions, chronic institutional residence, Treatment are below 1. three day course of trimethoprim/sulfamethoxazole (TMPSMX; Bactrim, Septra) is the current standard therapy, 2. with three days of trimethoprim or a fluoroquinolone (i.e., ofloxacin, norfloxacin [Noroxin], or ciprofloxacin [Cipro]) being equally effective. 3. Fluoroquinolones and nitrofurantoin become better options in your case for TMP-SMX resistance increases. 4.If oral drug is not possible, take ceftazidime parentrally. You should shift to oral therapy with in 72 hr as you able to tolerate oral drugs. Follow up urine culture after 14 days to confirm the eradication of bacteria. Take plenty of water Tablet Paracetamol 500 mg thrre times a day if fever is present. tablet cetrizine 4 mg twice daily if itching Maintain hygiene around pubic area Drink fruit juice of cranberry and orange. Hope this advice help you.. Thank you. Get well soon. Best regards Dr. Sagar