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Urinary tract infection (UTI)- Treatment

This post is also available in: हिन्दी (Hindi)

What is the treatment of UTI?

The doctor would treat the UTI mainly by using antibiotics. There are number of antibiotics available for treatment of UTI.

antibiotics-medicines

Initially, the doctor would prescribe you an antibiotic on the basis of the likely suspected microbe, severity of the symptoms and presence of any predisposing factors for the infection. After some days he might alter the antibiotic course on the basis of response to the treatment and result of the urine culture test. 2

The following are the antibiotic courses that are generally given for the specific type of UTI:

 

Type of UTIDescription of the diseaseAntibiotic treatment
Uncomplicated UTIAcute cystitis

• in a women (nonpregnant)

• Premenopausal women

• Acute kidney infection in otherwise healthy person

• Nitrofurantoin for 7 days or for at least 3 days after urine is sterile. Not for men.

• Trimethoprim-sulfamethoxazole for for 3 days.

• Trimethoprim for 3 to 5 days.

• Fosfomycin trometanol 3 g (1 dose)

• Ofloxacin or ciprofloxacin for 3 days (usually avoided)

Uncomplicated PyelonephritisAcute kidney infection• Ciprofloxacin for 7-10 days or levofloxacin for 5 days

• trimethoprim-sulfamethoxazole for 14 days

• IV ciprofloxacin or levofloxacin for 2 days followed by oral for 5-12days

Complicated urinary tract infectionUTI
• in men or
• related to catheter use
• If possible treat complicating factors such as remove the stone or the catheter.

• Ciprofloxacin or levofloxacin for 7 to 14 days.

• Trimethoprim-sulfamethoxazole for 7 to 14 days.

Complicated pyelonephritis or urosepsisComplicated kidney infection or Sepsis caused by UTI.• IV ceftriaxone, ceftazidime, cefepime, or piperacillin/tazobactam

• Ertapenem, meropenem

• Colistin; if antibiotic resistant

Treat for 14 days

UTI or asymptomatic bacteriuria in pregnant womenPregnant women with

• UTI

• Bacteria in urine with no symptoms

• Nitrofurantoin for 5-7 days

• Amoxicillin/ amoxicillin-clavulanate for 3-7 days

• Cefpodoxime for 3-7 days

Know more

Supportive treatment:

• Plenty of fluid intake especially water. Cranberry juice role after infection is not established.

• In cases you have dehydration, vomiting or sepsis the doctor would also give IV fluids.

• Removal of complicating factors if present such as catheter or stone.

What to do to prevent yourself from UTI?

There are several day to day habits that can help you prevent from developing urinary tract infection. These are as follows:

• Drink plenty of water and fluids: it is advisable to drink at least 2 liters of water per day which helps to dilute the urine and flush out microbes. This is not applicable for a person with urinary incontinence, or a person with heart or kidney failure. These people should consult their doctors. Some of the studies show drinking cranberry juice helps in preventing UTI, however few other studies discard this notion.

• After intercourse: you should urinate immediately after intercourse and drink plenty of water. This helps to flush out microorganisms with the urine.

• Wipe genitals from front to back: wiping from front to back after urinating or passing stools prevents microbes present in the anal region to spread to the urethra.

• Maintain genital hygiene and keep it dry: it is advisable to wear cotton underwear and loose fitting clothes to keep the area dry.

• Avoid using products in the genital area: application of products such as deodorant, powdersand douches in the genital area can irritate the urethra making it susceptible to infection.

• Avoid certain birth control methods: avoid using diaphragms, non lubricated condoms or spermicidal agents.

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