What is the best antibiotic for UTI in elderly men?
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What is the best antibiotic for UTI in elderly men?
Today, amoxicillin is commonly prescribed as first-line treatment for UTIs in older adults. Other common narrow-spectrum must be used with caution when patients have chronic kidney disease or take blood pressure medication, as many older adults do; or because their side effects can be serious in older adults.
How do you treat a UTI in elderly men?
Antibiotics are the treatment of choice for UTIs in older adults and younger people. Your doctor may prescribe amoxicillin and nitrofurantoin (Macrobid, Macrodantin). More severe infections may require a broad-spectrum antibiotic such as ciprofloxacin (Cetraxal, Ciloxan) and levofloxacin (Levaquin).
What is the first treatment choice in geriatric patients with urinary tract infections?
Treatment of UTIs. When treating uncomplicated, acute cystitis in the walking-well geriatric population, the use of first-line antibiotics, such as sulfa drugs (sulfamethoxazole/trimethoprim) for 3 days or ampicillin, is sufficient. No cultures are necessary if this is a first-time event.
What antibiotics are used for UTI in elderly?
Drugs commonly recommended for simple UTIs include:
- Trimethoprim/sulfamethoxazole (Bactrim, Septra, others)
- Fosfomycin (Monurol)
- Nitrofurantoin (Macrodantin, Macrobid)
- Cephalexin (Keflex)
- Ceftriaxone.
Why should nitrofurantoin be avoided in the elderly?
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of nitrofurantoin in the elderly. However, elderly patients are more likely to have age-related heart, liver, lung, or kidney problems, which may require caution in patients receiving nitrofurantoin.
What is the safest antibiotic for elderly?
Temafloxacin: A safe antibiotic for the elderly, patients with comorbidities, and other special populations.
How do you treat a UTI in the elderly without antibiotics?
To treat a UTI without antibiotics, people can try these approaches.
- Stay hydrated. Drinking enough water can help prevent and treat UTIs.
- Urinate when the need arises.
- Drink cranberry juice.
- Use probiotics.
- Get enough vitamin C.
- Wipe from front to back.
- Practice good sexual hygiene.
Why is nitrofurantoin not recommended in elderly?
What antibiotics treat UTI in males?
Adult males with UTI should receive a 10- to 14-day course of antibiotics. Outpatient regimens include a fluoroquinolone, trimethoprim-sulfamethoxazole (TMP-SMZ), minocycline, or nitrofurantoin (should not be given if glomerular filtration rate < 50).
Can Macrobid be used in males?
Macrobid is usually given for 5 days in females and 7 days in males for uncomplicated UTI. If you use this medicine long-term, for prevention of UTI, you may need frequent medical tests at your doctor’s office. Macrobid can cause unusual results with certain lab tests for glucose (sugar) in the urine.
How do you treat a UTI in the elderly?
UTIs in older adults—as well as in younger men—require a longer duration of antibiotic therapy than UTIs in young women, who usually have uncomplicated infections. Empiric therapy in elderly women is generally initiated with trimethoprim- sulfamethoxazole (TMP-SMX) or a fluoroquinolone.
What antibiotics should be avoided in elderly?
There are actually plenty of reasons for older people to avoid Cipro and other antibiotics known as fluoroquinolones, which have prompted warnings from the Food and Drug Administration about their risks of serious side effects.
Is ciprofloxacin safe in elderly?
Orally administered ciprofloxacin was a safe and effective therapy for complicated urinary tract infections in elderly patients.
Which drugs should be avoided in geriatric patients?
AVOID Certain Anticholinergic Drugs
- Antidepressants amitriptyline (Elavil) and imipramine (Tofranil)
- Anti-Parkinson drug trihexyphenidyl (Artane)
- Irritable bowel syndrome drug dicyclomine (Bentyl)
How long does it take for antibiotics to work for UTI in elderly?
Antibiotics are the first choice of treatment for UTIs. Mild UTIs often clear up in only a few days with the right antibiotic. However, depending on the person’s age and health plus the severity of the infection, treatment for a UTI may take several weeks and a longer course of antibiotics.
Why is nitrofurantoin not used in males?
Nitrofurantoin should not be used in men with a UTI, since it does not achieve reliable tissue concentrations. For acute uncomplicated pyelonephritis, the use of a fluoroquinolone as initial empirical treatment is recommended in areas where the rate of E.
Why is nitrofurantoin not used in men?
Nitrofurantoin is not universally recommended for men with UTI because of the possibility of concomitant infection of the prostate, where the drug does not achieve therapeutic concentrations.
Why would an older man get a UTI?
Older men have a higher risk of having a UTI, especially if they are after the age of 50 . Most cases in older men are caused by the bacterium known as Escherichia coli, which is naturally present in the body. Cases similar to UTIs in younger men are typically caused by sexually transmitted infections (STIs).
Why is ciprofloxacin not recommended for patients 60 and older?
However, elderly patients are more likely to have age-related kidney or heart problems, or develop severe tendon problems (including tendon rupture), which may require caution in patients receiving ciprofloxacin.
