Both men and women that have problems with bladder muscle function, known as neurogenic bladder , are also at risk for chronic UTIs due to retention of urine. Parenteral antimicrobial therapy is indicated if patients are unable to tolerate oral therapy, have impaired gastrointestinal absorption, have hemodynamic instability, or if the infecting organism is known or suspected to be resistant to oral agents. But taking care to minimize the bacteria that enters the urinary tract can help keep you safe from painful urinary tract infections. Antibiotic selection should be based on community resistance patterns, and empiric initial treatment should be guided by likely organisms. Frequent sex increases the risk of developing a UTI, too, as does having more sex partners.
Some strategies to prevent recurrent UTIs with antibiotics include taking low-dose antibiotics for six months or taking antibiotics after sexual intercourse. For recurrent UTIs, antibiotics may be needed for 10 days or more. The antibiotic regimen should be narrowed, when possible, to within 48 to 72 hours based on culture results. She's most at risk the first time she has sex with a new partner. If your chronic UTIs occur with menopause , you may want to consider vaginal estrogen therapy. Suppressive antimicrobial therapy is indicated to prevent frequent, recurrent infection for selected patients with persistent genitourinary abnormalities. Women who have recurrent UTIs may benefit from testing their urine frequently with a dipstick that warns of any bacteria in the urine. Some of the ways that recurrent UTIs are evaluated and treated include: The doctor will want to take a urine sample to test for bacteria and white blood cells. In many cases, this helps prevent symptoms from recurring. For example, they may ask you to perform regular home urine tests to check for infections. Both men and women that have problems with bladder muscle function, known as neurogenic bladder , are also at risk for chronic UTIs due to retention of urine. Why women are more prone to UTIs isn't completely understood, but experts do know that the way a woman's body is put together creates a perfect setup for bacteria to enter the urinary tract. In some cases of prostate disease, stones, or other obstruction of the urinary system, surgery may be done to restore normal flow of urine and help clear up infections. This condition can occur as a result of injury to the nerves to the bladder or injury to the spinal cord. Whenever possible, genitourinary abnormalities should be corrected. The duration of therapy should be seven days for patients with lower urinary tract symptoms, and 10 to 14 days for patients with upper urinary tract symptoms or sepsis syndrome. These imaging devices take pictures of parts inside your body. Menopause Menopause can cause similar problems in some women. Menopause causes hormone changes that can cause changes in your vaginal bacteria. There are also other risks for UTIs in older adults. Stay hydrated and drink plenty of water; this will help rid your urinary tract of bacteria. If your doctor suspects kidney damage , they may order X-rays and kidney scans. Antibiotic selection should be based on community resistance patterns, and empiric initial treatment should be guided by likely organisms. Information from reference 6. If you get UTIs often, your doctor may give you antibiotics to take at the first sign of symptoms.
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