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Thread: Pseudomonas UTI , prescribed 10 days oral Levaquin

  1. #1

    Pseudomonas UTI , prescribed 10 days oral Levaquin

    I noticed a UTI coming on about a week ago. Went to GP and got C&S done. Came back showing I have pseudomonas bacteria. They RXd Levaquin 500 1X/day f or 10 days. Because I've had C. Diff they also gave me Flagyl prophylaxis to prevent C. Diff

    My spasms and neuro pain are so bad. I'm on Day 5 of antibiotic treatment and not seeing a change in spasms or pain. When should I start feeling better? Is this the proper treatment?

    Going to try to see urologist this week. With non stop health issues since August I am beat down.

    I'm 31yo male, I intermittent cath (just switched to closed system a few days ago)
    My previous UTIs were kleibsella.

    So in pain!

    Regards
    Jason

  2. #2
    Senior Member zillazangel's Avatar
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    Pseudomonas is notoriously hard to eradicate, even when its sensitive to a drug. After you finish your 10 day course, have another culture done, and you may find it mutated and became resistant to Levaquin. We battled pseudomonas in my husband for the better part of a year before he finally was rid of it through injection antibiotics (repeated courses of them). Best thing you can do to prevent c diff is to take probiotics, and eat alot of yogurt (which has live probiotics).
    Wife of Chad (C4/5 since 1988), mom of a great teenager

  3. #3
    I posted a reply to your question about pseudomonas in another post. Please refer to that. You could have an allergy to levaquin. I can't say I have heard of treating for C Diff prophylactically at the same time as treating for an UTI. How many times have you had C Diff?

    I am glad you are seeking urologist care but it would also be good to seek out the expertise of an infectious disease provider.

    pbr

  4. #4
    Quote Originally Posted by SCI-Nurse View Post
    I posted a reply to your question about pseudomonas in another post. Please refer to that. You could have an allergy to levaquin. I can't say I have heard of treating for C Diff prophylactically at the same time as treating for an UTI. How many times have you had C Diff?

    I am glad you are seeking urologist care but it would also be good to seek out the expertise of an infectious disease provider.

    pbr
    I second the suggestion of an infectious disease specialist. Jason, you have been back and forth between your primary care physician and your urologist for these infections and C. diff. It is time to call in someone who will look at your situation with a broader and coordinated perspective. A number of years back, my primary care doctor and urologist suggested an infectious disease doctor when I had frequent and recurrent urinary tract infections (pre suprapubic placement and Vetericyn). He made all the difference clearing up these infections.

    Wishing you better luck in the New Year.

    All the best,
    GJ

  5. #5
    Senior Member dnvrdave's Avatar
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    Levaquin works great for me to kill UTIs, but it doesn't work on pseudomonas, which colonizes my bladder all the time, asymptomatically.

    I know we're all different, and a C&S (culture and sensitivity) should tell what works, but I just wanted to give my two cents.

  6. #6
    The GP won't see me til the end of my Levaquin therapy but it's been 7 days and still in pain with crazy spasms.

    Guess I'll see what the urologist says. Making an appointment with infectious disease is a process but i'm going to do it.

  7. #7
    FYI it is sensitive to Tobramycin, gentmycin, cipro Levaquin to name some.

    The oral Levaquin didn't work.

  8. #8
    Quote Originally Posted by jbridges9 View Post
    Making an appointment with infectious disease is a process but i'm going to do it.
    What kind of insurance do you have? With most HMO type insurance, all it takes is a referral from the primary care doctor...at most a letter of explanation as to why the visit is necessary. In your case, all the letter would have to indicate is "frequent and recurrent urinary tract infections over "X" months." With PPO or regular Medicare, it is a self referral.

    It usually takes some time to get an appointment to see an infectious disease doctor, unless one of your regular practitioners can pull some strings and talk to the infectious disease doctor on your behalf. Chances are good, the infectious disease doctor will want a list of the infections you have had by date, the antibiotics you have taken for each, and the length of the course of the antibiotic therapy. In your case, you will need to get this information from both your primary care doctor and urologist and collate the data, since you have seen both as your infections have occurred.

    All the best,
    GJ

  9. #9
    I have POS but don't need referrals. I called Emory because my PCP is Emory Clinic and all Emory locations are supposed to be able to see medical records. But they said they couldn't find me so I have to get my info faxed to them.

    What am I doing wrong to have all these infections? I was plenty healthy before. I even had mystery infections in the hospital that required IV antibiotics.

  10. #10
    Quote Originally Posted by jbridges9 View Post
    I have POS but don't need referrals. I called Emory because my PCP is Emory Clinic and all Emory locations are supposed to be able to see medical records. But they said they couldn't find me so I have to get my info faxed to them.

    What am I doing wrong to have all these infections? I was plenty healthy before. I even had mystery infections in the hospital that required IV antibiotics.
    It is a good question and one that is very difficult to answer. There are so many variables. Some folks use sterile everything and still get infections, while others aren't so careful and get very few infections. Sometimes I think that our immunity gets low after a number of infections and antibiotics and we tend to pick up infections very easily.

    I know you and I have had the Vetericyn discussion. I don't know where you are with that at the moment.

    My experience with the infectious disease doctor made all the difference. Yes, I had to take some IV medications (home administered), but it broke the cycle. Eventually, however, I changed my bladder management from intermittent catheterization, then indwelling urethral foley catheter to a suprapubic catheter. With the help of Vetericyn, I have been infection free for a couple years.

    All the best,
    GJ

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