15 doctors weighed in:
Girl treated 10 days ago IV abx then 7 days cipro (ciprofloxacin) (end 2days ago) 4 klebsiella oxytoca pneumonia, today complains of pain/burning on urination. Uti?
15 doctors weighed in

Dr. Chris Oh
Internal Medicine
8 doctors agree
In brief: Need to check urine
She will need to have urine culture checked for culture and sensitivity, there could be resistant organism.

In brief: Need to check urine
She will need to have urine culture checked for culture and sensitivity, there could be resistant organism.
Dr. Chris Oh
Dr. Chris Oh
Thank
1 comment
Dr. George Klauber
You still need to repeat the urine culture. She may have some persistent dysuria from urethral inflammation. You might like to try Pyridium for a few days. She is old enough for 200mg 8 hrly. Smash the pills and mixx with apple sauce or yogourt etc. if she can't swallow pills.
6 doctors agree
In brief: Urology evaluation
This patient needs to see a urologist as s0on as possible.
She also needs to have aurine culture done and a renal and bladder ultrasound. One needs to make sure that there are no anatomic abnormailties in the urinary tract.

In brief: Urology evaluation
This patient needs to see a urologist as s0on as possible.
She also needs to have aurine culture done and a renal and bladder ultrasound. One needs to make sure that there are no anatomic abnormailties in the urinary tract.
Dr. Howard Adler
Dr. Howard Adler
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Dr. George Klauber
Pediatrics - Urology
3 doctors agree
In brief: Another or same UTI
Klebsiella can be a difficult organism to eradicate.
7 days antibiotic treatment was not long enough if girl had pyelonephritis, which i suspect if she was initially treated iv. She certainly seems to have a UTI now. Other possibilities are: original organism was resistant to Cipro (ciprofloxacin) or the original klebsiella, if sensitive at first, transformed and acquired resistance. She needs a new antibiotic.

In brief: Another or same UTI
Klebsiella can be a difficult organism to eradicate.
7 days antibiotic treatment was not long enough if girl had pyelonephritis, which i suspect if she was initially treated iv. She certainly seems to have a UTI now. Other possibilities are: original organism was resistant to Cipro (ciprofloxacin) or the original klebsiella, if sensitive at first, transformed and acquired resistance. She needs a new antibiotic.
Dr. George Klauber
Dr. George Klauber
Thank
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