Sunday, November 27, 2022

Best Antibiotic For Male Urinary Tract Infection

Must read

Top 10 Home Remedies For Urinary Tract Infections In Males

Mayo Clinic Minute: Treating Urinary Tract Infections

Urinary tract infections are a very common problem among males. Antibiotics are the most common treatment to get rid of UTIs. But there are other ways, in the form of home remedies that help in curing bacterial infections .

Urinary tract infections can be more troublesome if they tend to recur. These bacterial infections tend to show discomforting symptoms in a person.

Antibiotics Used For Uncomplicated Utis

If you are a healthy individual whose urinary tract is anatomically and functionally normal and you have no known heightened UTI susceptibility youve got whats dubbed an uncomplicated UTI, according to guidelines published in August 2019 in the Journal of Urology. For these individuals, antibiotics are considered the first-line of treatment.

The type of antibiotics you are prescribed and for how long is contingent on the type of bacteria detected in your urine, your current health status, and whether your UTI is uncomplicated or complicated. Depending on which antibiotic your doctor prescribes, women may need a single dose or up to a five-day course. For men, antibiotics are usually given for a slightly longer period of time, notes UpToDate.

Typically, if you are diagnosed with an uncomplicated UTI, one of the following will be prescribed as first-line treatment:

The following antibiotics are considered second-line treatments for UTI. They are generally chosen because of resistance patterns or allergy considerations:

Outpatient Versus Inpatient Uti Management

Patients who are well appearing, have stable vital signs, are able to maintain oral hydration and comply with oral therapy, and have no significant comorbid conditions can be treated as outpatients with adequate follow-up arranged in 48-72 hours.

If the patient appears toxic, has obstructive uropathy, has stones, is unable to tolerate fluids by mouth, has significant comorbid disease, or otherwise is unable to care for himself at home, inpatient admission is recommended. For example, consider admission for UTI for elderly patients and patients who have diabetes, who are immunocompromised, or who show signs of dehydration, hyperpyrexia, or rigors.

Initial inpatient treatment includes intravenous antimicrobial therapy with a third-generation cephalosporin, such as ceftriaxone a fluoroquinolone, such as ciprofloxacin or an aminoglycoside. Antipyretics, analgesics, and adequate IV fluids to restore appropriate circulatory volume and promote adequate urinary flow are also important.

Also Check: Why Are Urinary Tract Infections Common In Older Adults

Which Antibiotic Will Work Best

Your doctor will take a urine sample to confirm that you have a UTI. Then the lab will grow the germs in a dish for a couple of days to find out which type of bacteria you have. This is called a culture. Itâll tell your doctor what type of germs caused your infection. Theyâll likely prescribe one of the following antibiotics to treat it before the culture comes back:

Which medication and dose you get depends on whether your infection is complicated or uncomplicated.

âUncomplicatedâ means your urinary tract is normal. âComplicatedâ means you have a disease or problem with your urinary tract. You could have a narrowing of your ureters, which are the tubes that carry urine from your kidneys to your bladder, a narrowing in the urethra which transports urine from the bladder out of the body, or, you might have a blockage like a kidney stone or an enlarged prostate . It’s also possible you have a urinary fistula or a bladder diverticulum.

To treat a complicated infection, your doctor might prescribe a higher dose of antibiotics. If your UTI is severe or the infection is in your kidneys, you might need to be treated in a hospital or doctor’s office with high-dose antibiotics you get through an IV.

Your doctor will also consider these factors when choosing an antibiotic:

  • Are you over age 65?
  • Are you allergic to any antibiotics?
  • Have you had any side effects from antibiotics in the past?

Is It Possible To Prevent Urinary Tract Infections With Diet And Supplements

home remedies for UTI: apple cider vinegar, indian gooseberry (amla ...

It is possible to reduce the chance that a UTI will develop with dietary methods and some supplements but prevention of all UTIs is unlikely with these methods.

  • Supplements such as eating cranberries, taking vitamin C tablets, and eating yogurt and other substances also may reduce the chance that a UTI will develop .
  • However, as stated in the prevention section, changes in a person’s lifestyle may reduce the chance of getting a UTI as good as, if not better than, any diet or supplement.

Also Check: How Do You Diagnose A Urinary Tract Infection

Antibiotics For Acute And Uncomplicated Urinary Tract Infections

First-line treatment for an uncomplicated UTI may start with a single dose of fosfomycin or nitrofurantoin twice per day for five days, or sulfamethoxazole-trimethoprim twice per day for three days. These medications can be started based on your symptoms and urinalysis results, and should be effective in most cases.

Although much less common, men may also get this type of UTI. The choice of antibiotics is the same, but they may be given for a longer time because bacteria may move into the prostate gland and take longer to treat.

When doctors diagnose an uncomplicated UTI, they are usually diagnosing a type of UTI called cystitis, which means a bladder infection. In fact, the terms UTI, cystitis and bladder infection are often used interchangeably. Acute uncomplicated cystitis is another medical term for a common UTI that has not spread or become severe.

The term uncomplicated refers to a simple UTI found in a generally healthy adult who:

  • Is not pregnant or postmenopausal
  • Is not immunocompromised
  • Has no structural abnormalities in the urinary tract
  • Has no other diseases

Use Of Antibiotics For Treating Utis In Dogs And Cats

JD Foster

VMD, DACVIM

Dr. Foster is an internist and Director of the Extracorporeal Therapies Service at Friendship Hospital for Animals in Washington, D.C. He has lectured around the world on various renal and urinary diseases and authored numerous manuscripts and book chapters on these topics. He is the current president of the American Society of Veterinary Nephrology and Urology.

Urinary tract infections are common in small animal practice it has been reported that up to 27% of dogs will develop infection at some time in their lives.1

Most UTIs are successfully treated with commonly used drugs, dosages, and administration intervals. However, infections can be challenging to effectively treat when they involve the kidneys and prostate . In addition, it can be difficult to create an appropriate antibiotic prescription in patients with kidney disease due to reduced drug clearance.

Understanding drug pharmacokinetics and pharmacodynamics is essential when determining the most effective antibiotic therapy. In addition, successful antimicrobial therapy requires appropriate choice of antibiotic, including dose, frequency, and duration .

Recommended Reading: Science Diet Urinary Hairball Control

Can A Uti Go Away On Its Own

While most patients with a UTI will be prescribed antibiotics, the truth is, uncomplicated urinary tract infections are often self-limiting, meaning they can potentially run their course sans antibiotic treatment, noted a 2018 report in PLoS Medicine.

In fact, that same report found that more than one-half of the women studied experienced a UTI resolution without the use antibiotics. However, since kidney infections occurred in 7 out of 181 women using ibuprofen, the researchers concluded that, at this time, they cannot recommend ibuprofen alone as initial treatment to women with uncomplicated UTIs.

A better idea, for now: Simply wait until a positive urine culture comes back before treating with antibiotics.

Antibiotics For Urinary Tract Infections In Older People

Top Natural Remedies for a UTI (Urinary Tract Infection)

Antibiotics are medicines that can kill bacteria. Health care providers often use antibiotics to treat urinary tract infections .

The main symptom of a UTI is a burning feeling when you urinate.

However, many older people get UTI treatment even though they do not have these symptoms. This can do more harm than good. Heres why:

Antibiotics usually dont help when there are no UTI symptoms.

Older people often have some bacteria in their urine. This does not mean they have a UTI. But health care providers may find the bacteria in a routine test and give antibiotics anyway.

The antibiotic does not help these patients.

  • It does not prevent UTIs.
  • It does not help bladder control.
  • It does not help memory problems or balance.

Most older people should not be tested or treated for a UTI unless they have UTI symptoms. And if you do have a UTI and get treated, you usually dont need another test to find out if you are cured. You should also not be tested just in case there is a UTI.

You should only get tested or treated if UTI symptoms come back.

Antibiotics have side effects.

Antibiotics can have side effects, such as fever, rash, diarrhea, nausea, vomiting, headache, tendon ruptures, and nerve damage.

Antibiotics can cause future problems.

Antibiotics can kill friendly germs in the body. This can lead to vaginal yeast infections. It can also lead to other infections, severe diarrhea, hospitalization, and even death.

When should older people take antibiotics for a UTI?

Also Check: What Do You Treat A Urinary Tract Infection With

An Ounce Of Prevention

Unfortunately, most UTIs are not completely preventable, and are caused by differences in the structure or function of the urinary tract and immune system. But there are things you can do to keep healthy. For example, stay hydrated to increase urine production and flush out unwanted bacterial intruders. Good hygiene is also important, but scrubbing away at delicate genital tissues can damage them and create portals for bacteria. Clean your genital area gently with mild soap and water. Postmenopausal women may benefit from vaginal estrogen cream. Finally, eating cranberries and urinating after having sex havent been proven to have major benefits, but arent likely to hurt, either.

Follow me on Twitter@lisa_xpond

About the Author

Lisa Bebell, MD, Contributor

Can Uti Symptoms Linger After I Take Antibiotics

Since UTI symptoms usually improve just a few days after starting antibiotics, youll want to talk to your healthcare provider if you notice that UTI symptoms are still hanging around after finishing your antibiotics.

Theres no need to panic, but you and your healthcare provider will want to make sure the antibiotics actually worked against your UTI. To do this, they may take another sample of your urine to see if the bacteria are still there or not. If the infection is cured, youll want to be sure there isnt a different issue thats causing similar symptoms.

Don’t Miss: Urinary Tract Health Cranberry Pills

Can Men Get Utis From Women

Men can get UTIs from women during sex, by getting the bacteria from a woman with the infection. However, this is unlikely.

Typically, the infection arises from bacteria that are already present in the mans body.

A doctor can diagnose a UTI by carrying out a physical examination, taking a medical history, and through laboratory tests.

Physical examination

The doctor may perform a physical examination that includes:

  • checking the vital signs
  • checking the abdomen, bladder area, sides, and back for pain or swelling
  • examining the genitals

Medical history

The doctor may ask if the person has had other UTIs in the past, or a family history of UTIs.

They may also question the person about their symptoms.

Laboratory tests

Laboratory tests are required to diagnose the infection as the symptoms of a UTI can be common to other diseases.

A urine sample is usually needed to look for the presence of pus and the bacteria causing the infection.

Men may be asked to give a urine sample. A man will need to start the urine stream to clean the urethra, and then collect a midstream sample in a cup. As bacteria multiply quickly at room temperature, this urine sample is either sent to the laboratory immediately or kept refrigerated until later.

The doctor may also ask for a urine test strip, also known as a urine dipstick test. This is a quick test in which a plastic or paper ribbon is dipped into the urine sample and then removed. If the person has a UTI, the ribbon will turn a particular color.

Treatment From A Gp For Utis That Keep Coming Back

Natural Antibiotic For Urinary Track Infection And Vaginal Infection ...

If your UTI comes back after treatment, or you have 2 UTIs in 6 months, a GP may:

  • prescribe a different antibiotic or prescribe a low-dose antibiotic to take for up to 6 months
  • prescribe a vaginal cream containing oestrogen, if you have gone through the menopause
  • refer you to a specialist for further tests and treatments

In some people, antibiotics do not work or urine tests do not pick up an infection, even though you have UTI symptoms.

This may mean you have a long-term UTI that is not picked up by current urine tests. Ask the GP for a referral to a specialist for further tests and treatments.

Long-term UTIs are linked to an increased risk of bladder cancer in people aged 60 and over.

Read Also: How To Check For Urinary Tract Infection

Carefully Targeted Antibiotic Treatment For Urinary Tract Infections

So what do we do now? As a society and as individuals, we should reduce and carefully target antibiotic use. Both physicians and patients should be aware of the grave potential to lose effective antibiotics for all infections even simple UTIs. Its an opportunity that empowers individuals to have informed conversations with their doctors. Every time your doctor prescribes an antibiotic, ask: Do I need this? Why? Is there an antibiotic-free alternative? Talking about it might be enough to meaningfully reduce inappropriate antibiotic use.

If youre having UTI symptoms like burning with urination, more frequent urination, bloody or cloudy urine, low abdominal pain, or fever, you should see a medical provider to get tested. Youll have to urinate into a container and the medical office will test for products of bacterial metabolism. Make sure to tell your provider if youve had UTIs before, and what antibiotic you took. If you have a history of antibiotic-resistant infections, share that, too. There are alternatives to Cipro and Bactrim, but antibiotic choices are limited.

If antibiotic resistance continues to grow, more people will need intravenous treatment for UTIs we used to cure with simple oral antibiotic courses. Were also likely to see more complications, like kidney infections and sepsis, arising from ineffective treatment.

Creating Stronger Strains Of Bacteria

Over time, some species of bacteria have become resistant to traditional antibiotics. According to some research , several species of E. coli, the primary cause of UTIs, are showing increasing drug resistance.

The more a person uses an antibiotic, the greater the risk of the bacteria developing resistance. This is even more likely when people do not follow a doctors instructions to complete the full prescribed course of treatment.

It is essential to continue a course of antibiotics until the end date that the doctor provides. People should also never share antibiotics with others.

Dont Miss: Ways To Prevent Urinary Tract Infections

Also Check: Urinary Tract Infection Leg Pain

Are There Any Home Remedies For A Urinary Tract Infection

The best “home remedy” for a UTI is prevention . However, although there are many “home remedies” available from websites, holistic medicine publications, and from friends and family members there is controversy about them in the medical literature as few have been adequately studied. However, a few remedies will be mentioned because there may be some positive effects from these home remedies. The reader should be aware that while reading about these remedies , they should not overlook the frequent admonition that UTIs can be dangerous. If the person does not experience relief or if his or her symptoms worsen over 1 to 2 days, the person should seek medical care. In fact, many of the articles about UTI remedies actually describe ways to reduce or prevent UTIs. Examples of home treatments that may help to prevent UTIs, that may have some impact on an ongoing infection, and that is unlikely to harm people are as follows:

There are over-the-counter tests available for detecting presumptive evidence for a UTI . These tests are easy to use and can provide a presumptive diagnosis if the test instructions are carefully followed a positive test should encourage the person to seek medical care.

What Are The Risks

Urinary Tract Infections, Animation.

Antibiotics can have side effects, such as fever, rash, diarrhea, nausea, vomiting, headache, tendon ruptures, and nerve damage.

Antibiotics can cause future problems.

Antibiotics can kill friendly germs in the body. This can lead to vaginal yeast infections. It can also lead to other infections, severe diarrhea, hospitalization, and even death.

Also, antibiotics may help drug-resistant bacteria grow. These bacteria are harder to kill. They cause illnesses that are harder to cure. Your health care provider may have to try several antibiotics. This increases the risk of complications. The resistant bacteria can also be passed on to others. If you get an infection from resistant bacteria, you may need more visits and medicines that cost more.

When should older people take antibiotics for a UTI?

If you have UTI symptoms, antibiotics can help.

  • The most common UTI symptom is a painful, burning feeling when you urinate.
  • Other UTI symptoms in older people may include fever, urge to urinate, and frequent urination. Along with these symptoms, there can be pain on one side of the back below the ribs or discomfort in the lower abdomen.

Some kinds of surgery can cause bleeding in the urinary tractfor example, prostate surgery and some procedures to remove kidney stones or bladder tumours. If you are going to have this surgery, you may need testing and treatment for bacteria in urine.

Recommended Reading: Foods For Urinary Tract Health

How Are Urinary Tract Infections Treated

You will need to treat a urinary tract infection. Antibiotics are medicines that kill bacteria and fight an infection. Antibiotics are typically used to treat urinary tract infections. Your healthcare provider will pick a drug that best treats the particular bacteria thats causing your infection. Some commonly used antibiotics can include:

  • Nitrofurantoin.

Its very important that you follow your healthcare providers directions for taking the medicine. Dont stop taking the antibiotic because your symptoms go away and you start feeling better. If the infection is not treated completely with the full course of antibiotics, it can return.

If you have a history of frequent urinary tract infections, you may be given a prescription for antibiotics that you would take at the first onset of symptoms. Other patients may be given antibiotics to take every day, every other day, or after sexual intercourse to prevent the infection. Talk to your healthcare provider about the best treatment option for you if you have a history of frequent UTIs.

More articles

Popular Articles