Patient is 82 y.o. female with previous history of pelvic wall/floor collapse/prolapse requiring bladder mesh surgery.
History of frequent and chronic recurrent UTI since that time.
Presented to Urgent Care and UTI was confirmed in early July 2020. Given broad spectrum antibiotic and C and S ordered.
Hospitalized after 3-4 days on antibiotic with fever, worsening symptoms and another urinalysis done via indwelling catheter confirming persistent, recurrent UTI.
Creatinine was high on admission to hospital. Another C and S was ordered. Results of both C and S were inconclusive.
Patient was treated with systemic antibiotics, hydration, etc. and released after 5 days.
At that time creatinine came back down to normal.
5 days in the hospital
In early September, patient again became symptomatic with recurrent UTI.
Urinalysis was positive and patient was again started on an antibiotic, Cephalexin.
Symptoms did not improve and PCR testing was performed. It was confirmed that recurrent UTI was a result of E. coli. Antibiotic resistance to cephalexin was reported so patient was put on twice daily nitrofurantoin.
Patient’s symptoms resolved.
This hospitalization could easily have been prevented
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