uti bhp treat

Pt male / 65 yr having burning micturition fever 1 day.. Pus cell 10+, urine acidic.. S/o uti.. Taking ofloxacin 400..bd .for 1day..also veltam plus for prostatomegaly.. Shd continue or change medications?



It is a case of enlarged prostate with obstructive uropathy leading to urinary tract infection. Get an USG of KUB region to see size and weight of prostate and post void urine volume which is important role for urinary tract infection because the more amount of post void urine with cause more stagnation leading to urinary infection suggested by urine report. Urine for culture sensitivity for use of proper antibiotic Sys alksliser Plenty of water by mouth PSA estimation Kidney function test.

Thanks Dr Bipin Bihari Jain

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Get his Ultrasonography of KUB area done to look for Size of prostate Gland Weight and Grading Amount of residual urine. Urine for culture and sensitivity Blood for PSA - both total and free And,then decide the treatment

Thank you doctor

Shift to combined antibiotics like cefixime+ofloxacin 1bd for 7days Add alkalisers Continue veltam plus for bph

Thanx dr Vipin Bihari Jain

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Zifi 400 bd or nitrofurantoin 100 mg bd 10 days Urine culture and sensitivity Psa Usg size of prostate Prevoid post void urine Tamsulosin d od same time


Get urine culture and sensitivity done, antibiotics as per reports, meanwhile Alkaliser to be given

.thanks Dr. Shivraj Agrawal, Dr. Mrinal Kantil Pal, Dr. R B

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