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What Is The Best Treatment For Urinary Tract Infection

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Can I Become Immune To The Antibiotics Used To Treat A Uti

Home remedies for urinary tract infection or UTI (urine infection)

Your body can actually get used to the antibiotics typically used to treat a urinary tract infection . This happens in people who have very frequent infections. With each UTI and use of antibiotics to treat it, the infection adapts and becomes harder to fight. This is called an antibiotic-resistant infection. Because of this, your healthcare provider may suggest alternative treatments if you have frequent UTIs. These could include:

  • Waiting: Your provider may suggest that you watch your symptoms and wait. During this time, you may be encouraged to drink plenty of fluids in an effort to flush out your system.
  • Intravenous treatment: In some very complicated cases, where the UTI is resistant to antibiotics or the infection has moved to your kidneys, you may need to be treated in the hospital. The medicine will be given to you directly in your vein . Once youre home, you will be prescribed antibiotics for a period of time to fully get rid of the infection.

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?

Why Is It Important To Take My Antibiotic As Prescribed

When prescribing an antibiotic, a healthcare provider takes many factors into account, such as allergy history, cost, tolerability, previous antibiotic therapy, and prevalence of drug resistance. Drug resistance is a public health problem. It refers to how germs can develop antibiotic resistance to our antibiotics through developing mutations that defend them and passing that genetic information on to other germs .

Antibiotic resistance makes our drugs less effective and affects people everywhere. If your healthcare provider prescribes an antibiotic treatment, you can do your part to help fight this problem. Follow your providers directions and remember the following guidelines .

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How Are Urinary Tract Infections Diagnosed

Your doctor will use the following tests to diagnose a urinary tract infection:

  • Urinalysis: This test will examine the urine for red blood cells, white blood cells and bacteria. The number of white and red blood cells found in your urine can actually indicate an infection.
  • Urine culture: A urine culture is used to determine the type of bacteria in your urine. This is an important test because it helps determine the appropriate treatment.

If your infection does not respond to treatment or if you keep getting infections over and over again, your doctor may use the following tests to examine your urinary tract for disease or injury:

  • Ultrasound: In this test, sound waves create an image of the internal organs. This test is done on top of your skin, is painless and doesnt typically need any preparation.
  • Cystoscopy: This test uses a special instrument fitted with a lens and a light source to see inside the bladder from the urethra.
  • CT scan: Another imaging test, a CT scan is a type of X-ray that takes cross sections of the body . This test is much more precise than typical X-rays.

Common Side Effects With Antibiotic Use

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Each antibiotic is responsible for its own unique list of side effects, and the list is usually extensive. Be sure to discuss your individual antibiotic side effects with your healthcare provider. However, there are side effects that are common to most antibiotics, regardless of class or drug:

Related: Common Side Effects from Antibiotics, Allergies and Reactions

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When To See A Doctor For Your Uti

If your symptoms persist beyond a few days with no sign of improvement, or if your infection keeps recurring, its best to see a doctor. While many home remedies may ease symptoms if they persist your doctor will be able to determine the cause and prescribe a course of antibiotics that should help take care of your UTI right away and prevent it from leading to a worsening condition or infection.

Have you tried any of the above natural remedies for UTIs, or other home treatments to treat your urinary tract infection? Tell us about them in the comments below!

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Latest Antibiotics For Utis

Vabomere

  • Vabomere is a combination carbapenem antibiotic and beta-lactamase inhibitor. Vabomere was first approved in August of 2017.
  • Vabomere is used for the treatment of adult patients with complicated urinary tract infections due to susceptible Escherichia coli, Klebsiella pneumoniae, Enterobacter cloacae species complex.
  • Vabomere is given as an intravenous infusion every 8 hours. Dosage adjustments are required in patients with varying degrees of kidney impairment.

Zemdri

  • Zemdri is an aminoglycoside antibacterial for the treatment of complicated urinary tract infections, including pyelonephritis. Zemdri was first approved in February of 2015.
  • Zemdri is used against certain Enterobacteriaceae in patients who have limited or no alternative treatment options. Zemdri is an intravenous infusion, administered once daily.

See also: Treatment Options for UTIs

Otc Uti Treatment Options

Natural Treatments for Urinary Tract Infections

UTIs are typically treated with a course of antibiotics that may run for a single day or a course of 7 days but usually lasts at an average of 1-3 days for uncomplicated urinary tract infections. However, some infections might not even need a course of antibiotics and may cease to exist. But, while treatment of UTIs without antibiotics may be a possible prospect in the future, for now, only a few equally effective OTC UTI treatments are available that can help a patient manage their symptoms. These include:

Hydration: Although not exactly an OTC UTI treatment method, hydration is still the key to treating a UTI quickly. If youve contracted a UTI, it is important to have fluids as frequently as possible so that you urinate more frequently and the harmful bacteria are flushed out of your urinary tract through natural means. This option means curing your symptoms without the use of medication.

  • Probiotics: Probiotics serve as an excellent OTC UTI treatment option that helps promote digestion and immunity in your body. Probiotics restore the good bacteria present in your gut and reduce the chances of reinfection.
  • Ascorbic Acid: Increasing your Vitamin C intake not only strengthens your immune system but is also a greater OTC UTI treatment option since it helps acidify the urine which may reduce the chance of reinfection.

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Uti Causes And Symptoms

A UTI, or urinary tract infection, is caused by organisms that are too small to be seen without a microscope, including fungi, viruses and bacteria. Despite the bodys many natural defenses, certain bacteria have the ability to attach themselves to the lining of the urinary tract and inhabit the urethra, bladder and kidneys. The majority of UTI cases are caused by E. colibacterium that can live in the bowel and vaginal cavities, around the urethral opening, and in the urinary tract.

Other significant pathogens that can cause UTIs include Proteus mirabilis, Staphylococcus saprophyticus, Staphylococcus epidermidis and Klebsiella pneumonia. In diabetic patients, Klebsiella and group B streptococcus infections are more common. Pseudomonas infections are more common in chronically catheterized patients.

Urinary tract infections are extremely common, especially among sexually active women ages 18 to 24. Although a UTI isnt typically complicated or life-threatening, it does cause pain and suffering and negatively impacts ones quality of life.

Generally, symptoms of a UTI in adults may include:

  • pain when urinating

Precautions Regarding UTIs and Home Remedies for UTI

Final Thoughts on Home Remedies for UTI

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What Are The Symptoms Of A Urinary Tract Infection

Best Treatment for Chronic UTI

These are the most common symptoms of a UTI:

  • Frequent urination
  • Pain or burning when passing urine
  • Urine looks dark, cloudy, or reddish in color
  • Urine smells bad
  • Feeling pain even when not urinating
  • Pain in the back or side, below the ribs
  • Nausea and/or vomiting
  • Despite an strong urge to urinate, only a small amount of urine is passed
  • Women may feel an uncomfortable pressure above the pubic bone

The symptoms of UTI may look like other conditions or medical problems. Always see a health care provider for a diagnosis.

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What Are The Symptoms Of A Uti

Symptoms of a UTI can differ depending on what part of the urinary tract is infected.

A bladder infection usually causes symptoms that include the following:

  • Burning when urinating
  • The feeling that you need to pee frequently, but when you go to the toilet very little urine comes out
  • Pain in the pelvic area just above the pubic bone.

Bladder infections are usually considered a simple UTI and treatment is usually with antibiotics for three to five days. Symptoms usually resolve in a couple of days.

People with an infection of the urethra may experience symptoms similar to a bladder infection in addition to itching or irritation at the end of the urethra where the pee comes out.

Symptoms of a kidney infection are usually more widespread and more severe than those of a bladder infection and may include:

  • Fever or chills
  • Pink or red-tinged urine
  • Burning when urinating
  • The feeling that you need to pee frequently, but when you go to the toilet very little urine comes out
  • Pain in the pelvic area just above the pubic bone
  • Moderate to severe lower back pain
  • Nausea or vomiting.

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Recurrent Urinary Tract Infections

Patients with three or more infections per year should be offered either continuous low-dose antibiotic prophylaxis, patient-initiated, or postcoital prophylaxis if the onset of infection is linked to sexual intercourse . Before a prophylactic regimen is chosen, a urine culture should be performed to determine the susceptibility of the pathogen. The duration of continuous prophylactic therapy is usually 6 months to a year. Unfortunately, within 6 months of discontinuing antibiotic prophylaxis, 40% to 60% of women develop a urinary tract infection, and prophylaxis must be resumed. Patient-initiated therapy at the onset of symptoms has been shown to be effective in young, healthy nonpregnant women. Short-course regimens have been advocated for patient-initiated therapy in compliant women with frequently recurring and symptomatic urinary tract infections. The major advantages of short-course therapy over continuous therapy are convenience and the avoidance of antibiotic toxicity symptomatic infections are not prevented, however. For postcoital prophylaxis, nitrofurantoin, trimethoprim-sulfamethoxazole, or fluoroquinolones taken within 2 hours after sexual intercourse have been shown to significantly reduce the incidence of recurrent cystitis.,

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Why Are Females At A Higher Risk For Utis

People with female reproductive organs are at a higher risk for UTIs because of their anatomy. The female urethra, the tube which empties urine from your bladder out of your body, is shorter than someone born with male anatomy.

The female urethra is also quite close to female reproductive organs. That means bacteria from sexual intercourse as well as products like spermicide can be in close contact with the urethra and bladder.

Females also experience menopause and pregnancy. These two biological events change the bacteria in your reproductive and digestive tracts and create conditions that make UTIs more likely.

Can Urinary Tract Infections Be Prevented

How to prevent and treat Urinary Tract Infection

These steps may help reduce the chance of getting UTIs:

  • Drink plenty of water every day.
  • Drink cranberry juice. Large amounts of vitamin C limit the growth of some bacteria by acidifying the urine. Vitamin C supplements have the same effect.
  • Urinate when you feel the need. Do not wait.
  • Take showers instead of tub baths.
  • Clean the genital area before and after sex, and urinate shortly after sex.
  • Women should not use feminine hygiene sprays or scented douches.
  • Cotton underwear and loose fitting clothes help keep the area around the urethra dry. Tight clothes and nylon underwear trap moisture. This can help bacteria grow.
  • Repeated bouts of urinary tract infections can be treated with small doses of regular antibiotics.

Please consult your health care provider with any questions or concerns you may have about UTIs.

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