• Follow us

Health

What You Need to Know About Resistant Urinary Tract Infections

Urinary tract infections, or U.T.I.s, are one of the world’s most common infections. Increasingly, they also are resistant to major drug treatments. Here’s what you should know.

Urinary Tract Infections Affect Millions. The Cures Are Faltering.As the infections become increasingly resistant to antibiotics, some standard treatments no longer work for an ailment that was once easily cured.July 13, 2019What is a drug-resistant urinary tract infection?

In the case of a resistant U.T.I., one or more standard antibiotics no longer work to cure the infection, but the bacteria is generally not resistant to all drugs.

What can I do to avoid getting a U.T.I. in the first place?

Women are more susceptible to U.T.I.s, as they are commonly known, owing to the way these germs infect: They often travel through fecal residue from the rectum to the urethra; this can happen through sex or poor bathroom hygiene. Even taking great care does not make them entirely avoidable.

Here are some steps that can help prevent urinary tract infections: Drink plenty of fluids, which helps flush out the bladder. Empty your bladder after sexual intercourse. Practice good bathroom hygiene, which, simply put, means wiping from front to back.

During the reproductive years, women are as much as 50 times more likely than men to get a U.T.I. However, those numbers even out significantly in an aging population because men wind up getting surgical procedures, or have bowel control issues, that might lead to the same spread of germs from gut and rectum to the urinary tract.

How often are U.T.I.s resistant?

The majority of urinary tract infections are now resistant to one or more antibiotics. The drug ampicillin, once a common treatment, has been largely abandoned because most U.T.I.s are now resistant to it.

The most important question isn’t whether an infection is resistant to any drug, but whether it is resistant to the drugs that are commonly used to treat your particular infection.

When experts in the field think about resistant U.T.I.s, they say that resistance “depends on the bug and the drug.” What that means is that they try to figure out which particular germs are resistant to specific medications.

What drugs work?

The drugs that are used to treat urinary tract infections have changed over the years, in large part because of rising resistance. Currently, there are a few “front-line” drugs that are recommended by various expert organizations, such as the Infectious Disease Society of America.

Two drugs that are the most highly recommended for uncomplicated U.T.I.s are nitrofurantoin, sold as Macrobid, and trimethoprim-sulfamethoxazole, sold as Bactrim or Septra. Both require a prescription, with doses and time courses that vary with the medication. But there has been growing resistance to Bactrim.

Nitrofurantoin seems to be more effective. Urinary tract infections caused by E. coli were susceptible to it 96 percent of the time, the New York City health department found. But the nitrofurantoin tends not to work in more advanced U.T.I.s where the infection reaches the kidneys, a condition known as pyelonephritis.

An older drug called fosfomycin has been revived as an alternative, but it is considered less effective than either nitrofurantoin or Bactrim. Other second-tier treatments tend to have either side effects or higher resistance rates.

What about other remedies, like cranberry juice?

Science doesn’t back up the healing power of such remedies. However, they might appear to work because many U.T.I.s will clear up over a few days as the body fights them off. In other cases, the symptoms may, in fact, be caused by another ailment that goes away on its own.

How do I know if my particular strain of U.T.I. is resistant to a particular drug?

The only way is to get a urine culture. The lab results will identify the germ and what would be effective in treating the infection. But it can take several days to get the results.

Most patients want an immediate prescription so doctors usually make a best-guess determination of what drug will work given a patient’s symptoms and history.

The importance of “history” cannot be overstated; if you have had a previous U.T.I., a previous resistant U.T.I., or have traveled outside the country, your history can help a doctor decide which drug to use.

Increasingly, experts tell us that you should ask for a culture when you go in for a U.T.I. treatment, even if you get an immediate prescription. The culture will allow a doctor to change the drug if the first one does not work.

That said, there is an important catch about when to do a urine culture. Often, it will show bacteria in the bladder even when an infection is not present. Some amount of bacteria is normal. The Infection Disease Society of America cautions doctors against doing cultures when symptoms of a U.T.I. are not present. The culture likely presence of bacteria can then lead to prescription of unnecessary antibiotics, contributing to the rise of resistance through overuse of the drugs.

Finally, some U.T.I.s, even when there are symptoms, can clear up on their own. This is one of many reasons to seek the care of an informed professional.

[Like the Science Times page on Facebook. | Sign up for the Science Times newsletter.]

Read More



Leave A Comment

More News

ABC News: Health

Former VA pathologist charged in deaths of 3 2019-08-20 18:33:57A pathologist who was fired from an Arkansas veterans hospital after officials said he had been impaired while on duty has been charged with involunta

Jury awards $3M to fired Planned Parenthood Arizona 2019-08-20 18:18:41A former Planned Parenthood Arizona employee who claimed she was wrongfully fired after she reported unsafe medical practices has been awarded $3 mill

2 drug companies settle with counties in opioid-crisis 2019-08-20 17:17:54Two drugmakers have reached settlements on claims filed by the first two Ohio counties set to go to trial in the national opioid lawsuit.

Georgia asks judge not to block restrictive abortion 2019-08-20 16:09:42Georgia is asking a federal judge not to block the state's restrictive abortion law from taking effect and to dismiss a challenge to the constitution

Big questions linger as Russia shares radiation data 2019-08-20 15:50:26A nuclear weapons watchdog says Russia has resumed sharing data from its radiation monitoring stations after they were taken offline following a deadl

Guidelines say more women may need breast cancer 2019-08-20 11:18:26New US guidelines say more women may benefit from gene testing for hereditary breast or ovarian cancer

Woman dies in Spain as listeria-in-pork outbreak sickens 2019-08-20 11:06:26Health authorities in Spain are on high alert after a 90-year-old woman died amid a listeria outbreak in the southern region of Andalusia that has aff

Planned Parenthood leaves federal family planning program 2019-08-20 00:12:57Planned Parenthood says it's pulling out of the federal family planning program rather than abide by a new Trump administration rule prohibiting prog

Brand-name drug prices rising at slower pace, lower 2019-08-19 16:42:44Prices for brand-name prescription medicines are still climbing, just not quite as much

US attorney seeks to block plan for supervised 2019-08-19 16:27:10Photos of young people lost to the opioid crisis are perched outside the federal courthouse in Philadelphia on Monday as a judge inside weighs a plan

Grower: 5,000 in Louisiana medical marijuana program so 2019-08-19 14:40:40Two weeks after Louisiana patients started receiving medical marijuana, pharmacies haven't reported any supply chain problems and the program appears

Philippines: Still-unknown disease prompts culling of pigs 2019-08-19 08:10:12The Philippine agriculture chief says an unspecified number of pigs has died or been culled in backyard farms in recent weeks and a crisis team has be

NYT > Health

Planned Parenthood Refuses Federal Funds Over Abortion Restrictions 2019-08-20 03:01:43Facing a Trump administration rule that forbids referrals for abortion, the organization decided to reject federal funds for family planning for low-i

Butterflies and the Salt of the Earth 2019-08-20 02:30:04The insects love mud puddles. Here’s why.

Premature Babies Lag in Vaccinations 2019-08-20 01:25:00Preterm babies were more than 20 percent less likely to have had required shots by 19 months.

Flavonoids in Plants May Help Protect Against Major 2019-08-20 01:24:28Those who ate the most flavonoid-rich foods had a lower risk for cancer and cardiovascular death.

Getting the Right Care for Painful Autoimmune Conditions 2019-08-20 01:17:34A corticosteroid can quickly relieve symptoms of both polymyalgia rheumatica and temporal arteritis. But a delay could cause vision loss, a stroke or

Why Do We Hiccup? 2019-08-20 01:15:32Anything that upsets or aggravates your digestive or respiratory tracts can induce hiccups. There are almost as many remedies as causes.

Football May Take a Toll on the Brain, 2019-08-20 01:15:25The brains of college football players showed signs of “fraying” after a season of play.

The Thick Gray Line: Forest Elephants Defend Against 2019-08-20 01:13:53If the species is wiped out by poachers, Africa’s vast rain forest will lose 7 percent of its carbon storage ability, scientists estimate.

Older People Need Rides. Why Aren’t They Using 2019-08-20 00:46:22Seniors need transportation alternatives more than ever, but many are intimidated by ride-hailing apps.

Why Warning Pregnant Women Not to Drink Can 2019-08-20 00:46:15Harsh measures, or even threats of them, can lead to the avoidance of prenatal care entirely.

No Pre-Reading, No Rehearsing: How ‘The Weekly’ Kept 2019-08-20 00:33:47The Times TV show’s producer/director shares the challenges and rewards of bringing to life witness testimony against Purdue Pharma in a way tha

A Secret Opioid Memo That Could Have Slowed 2019-08-19 13:43:16A new TV Show from The New York Times on FX and Hulu.

Scientific American: Health

Trials Test if C-section Babies Benefit From Mom's 2019-08-17 08:00:00Swabbing infants with mothers’ vaginal bacteria could affect the children’s health, but critics warn of sparse data and high risk -- Read

Treatment for Extreme Drug-Resistant Tuberculosis Wins U.S. Government 2019-08-16 09:45:00The three-drug regimen cures 90 percent of people who have the deadliest form of the disease -- Read more on ScientificAmerican.com

Antisense Drugs for Huntington's, ALS and Prion Diseases 2019-08-15 06:45:00A genetic therapy that increases or lowers levels of a protein raises hopes for a treatment for neurological disorders -- Read more on ScientificAmeri

Whistle-Blower Complaint Highlights CDC Turmoil on Climate 2019-08-14 15:45:00The filing will raise concerns that the agency is shifting climate funds to other programs -- Read more on ScientificAmerican.com

Climate Shocks Could Reverse Gains in Child Malnutrition 2019-08-13 15:25:00Drought fueled by global warming could exacerbate food insecurity, particularly in developing countries -- Read more on ScientificAmerican.com

Blood Tests for Alzheimer's: Two Experts on Why 2019-08-13 11:30:00Diagnoses could be made of individuals with AD pathology years before the first symptoms -- Read more on ScientificAmerican.com

Two Ebola Drugs Show Promise amid Ongoing Outbreak 2019-08-13 10:00:00People who receive either therapy soon after infection have a 90 percent survival rate, a clinical trial finds -- Read more on ScientificAmerican.com

Is Guilt Good for Your Health? 2019-08-13 07:00:00Negative feedback helps some people make better health choices, but we need a different approach to motivate others -- Read more on ScientificAmerican

Scientists Call for Do-Over for Rules on Creating 2019-08-12 15:30:00On Tuesday, an international commission will meet to develop less ambiguous guidelines for embryo editing -- Read more on ScientificAmerican.com

Artificial Intelligence Sniffs Out Unsafe Foods 2019-08-12 09:00:00Researchers trained machine-learning algorithms to read Amazon reviews for hints that a food product would be recalled by the FDA. Christopher Intagli

Device That Automates Manual Breathing Bags Could Save 2019-08-12 08:00:00A machine that can pump manual bag valve masks without human help could be a stopgap measure or replacement for mechanical ventilators -- Read more on

Ghostpartum: Why Many Women Don't Get the Sexual 2019-08-08 12:00:00The many factors that impact a woman’s ability and desire to have intercourse after giving birth are rarely addressed during a standard postpart

MedicineNet Daily News

Study Points to Harms From MRI 'Dye' in New! 2019-08-22 03:00:00Title: Study Points to Harms From MRI 'Dye' in Early PregnancyCategory: Health NewsCreated: 8/20/2019 12:00:00 AMLast Editorial Review: 8/21/2019 12

'Red Flag' Laws May Be Stopping Some Mass New! 2019-08-22 03:00:00Title: 'Red Flag' Laws May Be Stopping Some Mass ShootingsCategory: Health NewsCreated: 8/20/2019 12:00:00 AMLast Editorial Review: 8/21/2019 12:00:

Health Tip: Lifting Heavy Things New! 2019-08-22 03:00:00Title: Health Tip: Lifting Heavy ThingsCategory: Health NewsCreated: 8/21/2019 12:00:00 AMLast Editorial Review: 8/21/2019 12:00:00 AM

U.S. Task Force Updates Breast Cancer Gene Testing New! 2019-08-22 03:00:00Title: U.S. Task Force Updates Breast Cancer Gene Testing RecommendationsCategory: Health NewsCreated: 8/20/2019 12:00:00 AMLast Editorial Review: 8/2

Vaping Constricts Blood Vessels, Raising Heart, Lung Concerns New! 2019-08-22 03:00:00Title: Vaping Constricts Blood Vessels, Raising Heart, Lung ConcernsCategory: Health NewsCreated: 8/20/2019 12:00:00 AMLast Editorial Review: 8/21/201

The Merits of Physical Therapy New! 2019-08-22 03:00:00Title: The Merits of Physical TherapyCategory: Health NewsCreated: 8/21/2019 12:00:00 AMLast Editorial Review: 8/21/2019 12:00:00 AM

Study Finds Diabetes, Heart Failure a Dangerous Duo New! 2019-08-22 03:00:00Title: Study Finds Diabetes, Heart Failure a Dangerous DuoCategory: Health NewsCreated: 8/21/2019 12:00:00 AMLast Editorial Review: 8/21/2019 12:00:00

CBP Won't Vaccinate Migrants Against Flu New! 2019-08-22 03:00:00Title: CBP Won't Vaccinate Migrants Against FluCategory: Health NewsCreated: 8/21/2019 12:00:00 AMLast Editorial Review: 8/21/2019 12:00:00 AM

When Does Heart Health Return to Normal After New! 2019-08-22 03:00:00Title: When Does Heart Health Return to Normal After Quitting Smoking?Category: Health NewsCreated: 8/20/2019 12:00:00 AMLast Editorial Review: 8/21/2

AHA News: A Mineral, a Metal and a New! 2019-08-22 03:00:00Title: AHA News: A Mineral, a Metal and a Deadly Pregnancy ConditionCategory: Health NewsCreated: 8/20/2019 12:00:00 AMLast Editorial Review: 8/21/201

Women's Mid-Life Stress Might Have Long-Term Effect on New! 2019-08-22 03:00:00Title: Women's Mid-Life Stress Might Have Long-Term Effect on MemoryCategory: Health NewsCreated: 8/20/2019 12:00:00 AMLast Editorial Review: 8/21/20

AHA News: New Heart Saved Her - and New! 2019-08-22 03:00:00Title: AHA News: New Heart Saved Her - and It Came With the Name of Teen Who Gave ItCategory: Health NewsCreated: 8/20/2019 12:00:00 AMLast Editorial

Health News - UPI.com

Study: Alzheimer's drug Aricept could reverse alcohol effects 2019-08-20 14:01:48 An drug used to treat Alzheimer's disease could help reverse some of the negative effects of adolescent binge drinking on the brain, a study publish

USDA study advises against washing raw poultry, red 2019-08-20 13:33:46 Washing raw chicken before it's cooked is a common practice, but new federal research advised against it Tuesday -- saying it can lead to foodborne

Effects of smoking on the heart, blood vessels 2019-08-20 11:05:07 New research shows that people who smoke a pack of cigarettes a day for 20 years, for at least a decade after quitting, have a higher risk for cardio

Death risk higher for Chinese-American elders when children 2019-08-16 15:49:30 Older Chinese-Americans have a high expectation of respect from their children. But when the children don't meet this standard of respect, their eld

Electric brain stimulation may help people with severe 2019-08-16 13:07:03 For people with mental illness, focusing attention over long periods of time, distinguishing between two different things and processing information

Study: One-third of military personnel keep firearms safely 2019-08-16 11:02:36 Studies show that safely storing firearms can reduce risk for suicide, and more than 60 percent of military members who die by suicide use a gun whil

Black, Hispanic patients underrepresented in cancer trials, raises 2019-08-16 10:37:52 Between 2008 and 2018, fewer than 8 percent of cancer trials in the United States had participation from white, Asian-American, black and Hispanic pa

Methadone treatment during pregnancy doesn't hurt newborn, study 2019-08-15 16:20:51 Treating a pregnant woman who suffers from opioid addiction has no more harmful impact on the newborn compared to receiving no treatment at all, a ne

FDA proposes health warnings images for cigarette packs, 2019-08-15 14:33:23 A new rule proposed by the FDA would require images to cover the top half of the front and back of a cigarette pack, as well as cover the top 20 perc

New drug may speed blood recovery after chemotherapy 2019-08-15 14:22:30 A new drug may help to speed up the rejuvenation of blood stem cells after chemotherapy, a new study says.

New method reduces post-surgical opioid prescriptions by one-third 2019-08-15 10:53:50 Researchers have come up with a way to decrease pain in patients undergoing surgeries without sending them home with dozens of opioid prescriptions.

Nearly half of patients keep information about sexual 2019-08-14 16:52:37 Nearly half of patients who've survived a sexual assault, faced threats of domestic violence, struggled with depression or thought about committing

FOX News

Baby born by C-section after parents involved in 2019-08-21 15:17:19A British couple welcomed their baby girl weeks early after they were involved in a car accident — which left them both with broken ankles &mdas

Pro athletes unite to bring wheelchair basketball and 2019-08-21 15:05:40Wheelchair basketball is transforming the lives of those caught in the crossfire of conflict, disease and poverty – spurred by the International

Beth Chapman ‘choked on cancer’ in final moments 2019-08-21 14:47:00She said the 51-year-old's final moments haunt her father.

Navy dad catches newborn son while en route 2019-08-21 14:40:12He had prayed to play a role in his wife's delivery, and he certainly did.

Teen hospitalized with vape-related health scare: ‘Machines were 2019-08-21 14:29:16A Texas teen is recovering after spending 18 days in the hospital for a collapsed lung doctors believe was caused by vaping.

Mom loses fingers, toes, part of leg after 2019-08-21 12:38:01Her most recent surgery stemming from the 2015 incident was just a few months ago.

E-cigarettes damage blood vessels even if devices don’t 2019-08-21 10:45:48Often touted as a safer alternative to cigarettes, e-cigarettes can have negative effects on a user’s blood vessels, damaging them after just on

Man's beloved dog dies just 15 minutes after 2019-08-21 10:11:26It was a tragic twist for an already heartbroken family.

Las Vegas strip visitors warned of possible measles 2019-08-21 09:21:44Heads up, Las Vegas visitors: If you took a trip to Sin City earlier this month, you may have been exposed to measles. 

Blood test can predict if you'll die in 2019-08-21 09:08:55If you could find out when you were likely to die, would you?

Lack of flu shots for migrants at CBP 2019-08-21 04:33:15U.S. Customs and Border Protection agents and their medical contractors do not administer influenza vaccines to migrants being held at detention

Woman left with 'Harry Potter' scar after skin 2019-08-20 15:08:19A British woman who used tanning beds for years later developed skin cancer on her forehead that, after it was removed, left her with a “Harry P


Disclaimer and Notice:WorldProNews.com is not responsible of these news or any information published on this website.