Burning micturation/sore throat/ penile itching resistant to inj.xone
Check urine Micro/ Culture & Sensitivity. USG Abd & Pelvis. Hydronephrosis... Stones/ Sizes/Location. CBC/ PSA./Post Void residue . Antibiotic as par culture report. Alkelizer... Repeat CBC/Urine..Micro & CS.after 15 days of completion g course of medic treatment.
Because male urethra is longer in males Urine C/S Blood C/S Depending on the reports we have to choose antibiotics of choice & given for 21 days Alkacitron 2 tsf tds Tab pyridium 200 mg tds for 2 days & sos when burning is there
For complete rx for UTI Rx altacef cv 500 mg. Bd for 5 day Alkacitral syrup tds Rbaon bd Ibujesic plus tds With homoeopathy Medo 1m stat Berberis vulgaris 200 tds Cantharis 200 tds Sarsaparila 200 tds
NEED'S.. HEMOGRAM.. URINE ROUTINE AND..C &S EXAMINATION.. PVR.. PSA .. USG..ABDOMEN.. BALIFLOXACIN 200MG BD X 5DAYS.. ALKALIZER..
Go for levofloxacin 750 OD for 14 days Tab Pyridium 200mg TDS for 2 days only
It is not difficult to treat UTI in male provided one practises evidence based medicine. Empirical treatment and done without application of mind frequently fail.One also has to take the role of conjugal partners also. Any resistant infection may have anatomical abnormalities as a prime cause. Investigations asked must keep that in mind.
Rule out Candidiasis.. and FDR
In any case of UTI.. urine c/s should be evaluated along with usg of abdomen. UTI resistant to treatment should raise a suspicion of TB and a urine for AFB should be sent and treated accordingly.
Urine c/s done If no growth Try Nitrofurantion Amikacin Vancomycin Look for Urinary kochs too
Nowadays , Resistance Towards bacteria is increasing So Antibiotics Failure is frequently seen Urine Routine with Culture and Sensitivity needed before treating UTI . UTI frequently seen in women than male ...
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