Dec 18, 2012
Dear doc, can a urinary tract infection be treated in hiv positive patient? Is so what is the most prescribed antibiotic?
Response from Dr. Young
Of course, any infection, including urinary ones can be treated in people living with HIV. In an ideal setting, your doctor would obtain a urine culture to determine if you truly have a UTI (it's frequently over diagnosed) and what the causative bacteria is. With this information, a tailored antibiotic treatment can be prescribed.
Trimethoprim sulfa is a commonly prescribed empiric antibiotic for UTIs, but increasingly many bacteria are resistant to this. Fluoroquinolone antibiotics are often used as an alternative here in the US, but shouldn't be prescribed empirically in places with high levels of bacterial resistance or tuberculosis.
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