Recurrent UTI with T2DM with HTN
A 65 year old female housewife by occupation
Diabetic patient having recurrent UTI needs to workout 1 cbc 2 urine for c&s 3 usg abdomen to look for diabetic nephropathy 4 bul and sr creatinine Rx inj feropenum orally 200mg 1bd Or iv inj meropanum Check if pt is on dapagliflozin than hold it as it augments the UTI
RECURENT U T I CAN BE A COMPLECATION.OF D M BUT NOT HYPERTENSION SINCE LONG STANDING UNCONTROLLED D M CAN HAVE FOLLOWING COMPLECATIONS. BESIDES RECURRENT U T I D RETINOPATHY D NEUROPATHY D NEPHROPATHY D ARTHOPATHY D DERMOPATHY PRONE TO C V S C N S DISORDERS ULCERS DIABETIC FOOT DEMENTIA ALZEMERS PERIONDITIS IN PRESENCE OF D RETINOPATHY SEVERITY OF NEPHROPATHY IS MORE
Urine culture and sensitivity to be done Ultrasound for renal function Diabetic diet and treatment Antihypertensive to be given
Treatment of recurrent UTI adv 1) Treatment of current infection with appropriate Antibiotic based on culture 2) Prevention of recurrent UTI - Tablet Bethanechol 25 mg one tablet three times a day Tablet Cranpac D or cranberry juice- three times a day
Alkelizer. Nitrofurontine 100 mg 1 bd x 10 days. CS of urine to rule out ac.Cystitis / Obstructive pathology involved if any.
Recurrent UTI in old age female Tb levoflox 500 mg OD Syp alkasol 2 TSF qid What treatment she is taking for T2 DM Adv USG WA Urine culture sentistivity
Ask for URINE C/S USG OF WHOLE ABDOMEN AND ASK FOR MEDICINE AND STOP SUCH ANTIDIABETIC DRUGS WHICH EXCRETE THROUGH URINE
Adv Urine culture and sensitivity Kft. X ray kub , USG abd and pelvis Rx syp kmac UTI or utimac sachet 1 od in 1 glass of water Control sugar level
Complicated UTI Long term antibiotic according to sensitivity for 14days at least. FAS 3 kit once Usg and pelvis to rule out cystitis Adequate hydration
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