Patient Case: Prevention of Recurrent Urinary Tract Infections in a 76 years old Male ?

A geriatric physicians present his patient to G- Med Community for consultation:  

the patient suffers from recurrent, symptomatic, urinary tract infection, lately about every 2 months.

Each time, a different bacterial species is found - ESBL E. coli , then a moderately resistant E. coli, now P. mirabilis….

 

 

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Any ideas regarding probable underlying pathophysiology, preferred diagnostic measures and treatment options ?

 

 

 

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