Young man with a UTI should be treated with antibiotics for:
a. Bacterial UTI in women should be treated with 3 days of antibiotics.
b. In men, bacterial UTI should be treated with 7 days, of antibiotics and younger men should be evaluated for correctable structure anomalies with an IVU or CT scan with IV contrast and a cystoscopy.
c. Drugs that are rapidly excreted by kidneyin high concentration are ideally suited for the treatment of uncomplicated UTIs.
d. Most cases are commonly caused by E.Coli and it rapidly res[onds to the routinle given antibiotics .administered for a period of 7 days.
e. Short courses of 1-3 days therapy have also proved efficacious.
f. Some commonly used drugs are sulfonamides, ampicillin, nalidixic acid, nitrofurantoin, tetracycline, cephalexin.
g. The patient who has had a UTI is at increased risk of recurrence .
h. Repeat urinanalysis should be done and possibly culture is indicated.
i. If recurrence occur in absence of any correctable anatomical abnormality, long term low dose suppressive therapy is required.
j. Methanamine mendalate or hippurate, nitrofurantoin drugs are used for long term treatment.
k. The length of therapy in such cases is usually 3 months.
l. In patients with acute pyelonephritis Carbenicillin is used in combination with aminoglycosides.
m. Because in such cases the drugs which produce high blood and tissue levels are to be used.
n. These patients may present with flank pain or tenderness, chills, fever.
o. Parenteral therapy is required in such cases.