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A Bladder infection is better known as a Urinary Tract Infection (UTI) or Cystitis. All of these names above are used interchangeably when talking about a urinary infection. There are several common organisms that cause a urinary tract infection. Antibiotic guide therapy is based on what the invading organism or pathogen might be and symptoms. If the symptoms are more severe further testing and a different antibiotic may be bladder infection treatment. Cost effectiveness is also taken into consideration when choosing antibiotics for treatment.
There are several pathogens (organisms) that may be the cause of a bladder infection with E. coli leading the list. E. coli is a strong gram negative pathogen and is more susceptible to those narrow spectrum antibiotics that cover negative organisms. Hallmark symptoms of a UTI include pain with urination, increased urinary frequency, cloudy urine, suprapubic pain and possibly pain at the lower back.
Antibiotic guide therapy is based on the presenting symptoms:
If there are only minimal symptoms of infection then a Sulfa or Second Generation Quinolone antibiotic is warranted to bladder treatment the infection.
If bladder symptoms are systemic such as with fever, then usually a stronger antibiotic is warranted in order to cover for a broad range of organisms that may be present. Systemic symptoms may indicate that the infection may be heading towards the kidneys or the invading organism may be atypical. A broader spectrum antibiotic is needed bladder infection such as an Extended Penicillin, Third Generation Quinolone or Forth Generation Cephalosporin to cover the infection.
For those that are pregnant antibiotic precautions are in place based on studies. A miscellaneous antibiotic such as macrobid could be an option for a cystitis infection. A Penicillin or Cephalosporin could also be substituted to treat their Urinary Tract Infection. Quinolones and Sulfas are contraindicated to treat bladder infections during pregnancy.
Children have the antibiotic options of Sulfas, Penicillins or Cephalosporins to treat bladder infections. Quinolones and Tetracyclines are contraindicated in childhood for the treatment of urinary tract infections.
If recurrent urinary tract infections are the problem then further work up may be indicate. Suppressive therapy may be indicated until the origin of the infection is found.
If symptoms improve no follow is usually indicated, even thought there is the option of a urine culture to make sure the infection has been cured. If symptoms persist or worsen then follow up is warranted immediately.








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