4 doctors weighed in:

What is best antibiotic to treat 4th ecoli UTI in 90 year old with slight kidney problem (elevated bun when dehydrated)? Is cipro (ciprofloxacin) ok?

4 doctors weighed in
Dr. George Klauber
Pediatrics - Urology
1 doctor agrees

In brief: Cipro (ciprofloxacin) is OK

Bacteria have to be sensitive to the antibiotic used or the medication will be ineffective.
Cipro (ciprofloxacin) will be fine if the bacteria are sensitive to it, this can be checked by getting a culture and sensitivity test. Your 90 year old should also be hydrated. She hopefully is not retaining urine, or having an indwelling catheter, both of which would make UTI elimination very difficult.

In brief: Cipro (ciprofloxacin) is OK

Bacteria have to be sensitive to the antibiotic used or the medication will be ineffective.
Cipro (ciprofloxacin) will be fine if the bacteria are sensitive to it, this can be checked by getting a culture and sensitivity test. Your 90 year old should also be hydrated. She hopefully is not retaining urine, or having an indwelling catheter, both of which would make UTI elimination very difficult.
Dr. George Klauber
Dr. George Klauber
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In brief: It depends

Many antiobiotics (including cipro) need to have the dosing adjsuted based on kidney function.
Your doctor will be able to determine the best antibiotic and its dose based on many criteria including allergies, drug-drug interactions, renal and liver function, and bacterial sensitivity. Remember that not every UTI needs to be treated for example - asymptomatic bacteriuria.

In brief: It depends

Many antiobiotics (including cipro) need to have the dosing adjsuted based on kidney function.
Your doctor will be able to determine the best antibiotic and its dose based on many criteria including allergies, drug-drug interactions, renal and liver function, and bacterial sensitivity. Remember that not every UTI needs to be treated for example - asymptomatic bacteriuria.
Dr. Howard Adler
Dr. Howard Adler
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Dr. Pavel Conovalciuc
Family Medicine

In brief: Go 4 culture

At this point, i'd definitely obtain a culture of urine prior to deciding on the antibiotic choice.
If your e.Colt has not cleared after 3 antibiotic treatments and no culture has been done, it's imperative to get one prior to further treatment. Ciro may be a right choice, but will need to be adjusted to your kidney function.

In brief: Go 4 culture

At this point, i'd definitely obtain a culture of urine prior to deciding on the antibiotic choice.
If your e.Colt has not cleared after 3 antibiotic treatments and no culture has been done, it's imperative to get one prior to further treatment. Ciro may be a right choice, but will need to be adjusted to your kidney function.
Dr. Pavel Conovalciuc
Dr. Pavel Conovalciuc
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