We were in a small dilemma on one issue regarding Esha鈥檚 health and thought of writing to you. We would be grateful if you could kindly consult some good doctor on what line of action we should take.
During examination of Esha鈥檚 Urine Culture they have found the presence of E. Coli bacteria (100,000 organisms/ml 鈥?which is significant). However, in the Routine Urine test there is no indication of Pus cells. The test has been repeated a number of times and is showing the same result. Esha has had a couple of bouts of fever (upto 100.5 degrees) over the last one and a half months. We have also got the ultrasound of abdomen done, which is normal.
Now there are two clear views amongst the Peadiatricians here:
One doctor says that this must be treated for Urinary Tract Infection (UTI) by giving antibiotics as repeated tests have shown presence of E Coli.
Esha鈥檚 Urine Culture test shows that this bacteria is sensitive to Amikacin,
Cefoperazone+Sulbactum, Meropenem, Piperacillin+Tazobactum, and
Nitrofurantoin. These are all very strong antibiotics. They have suggested that the only antibiotic that can be given without hospitalization is Nitrofurantoin.
The other doctor has insisted that Esha has no symptoms of UTI and this is a case of Asymptomatic Bacteriuria. It should not be treated with antibiotics.
In fact if treated it increases the risk of symptomatic UTI at a later date.
This clearly puts us in a difficult choice.
We would be grateful if you could consult some good doctor and tell us about their thinking on this issue. The jury seems to be clearly divided. There should not be e.coli in urine at all! Urine is naturally sterile. You need to start practicing better hygiene. Let me guess. This is a girl? Please, please, please start being more careful and practicing scrupulous hygiene in that area, or you are in for a serious situation. Be happy that (s)he is asymptomatic for now, hope that (s)he can get rid of the current e.coli infection using her own immune system, and don't let her get another infection. |
