Dr. Steven R. Goldstein MD is one of the best obgyns in NYC. In private practice for over 25 years, Dr. Goldstein may encounter patients with suspected urinary tract infections (UTI), which he would treat as a courtesy instead of sending them to a urologist or their primary care physician. Dr. Goldstein has long held to the belief that there is a rising problem of antibiotic resistance, mainly with urinary tract infections primarily because many physicians and urgent care centers will do simple tests looking for a substance called leukocyte esterase in a patient’s urine. If it is found, then they begin treating it with antibiotics that are broad-spectrum, enough to kill virtually any organism in the urine. As one of the best obgyns in NYC, Dr. Goldstein prefers to treat presumed urinary tract infections by first taking a culture while starting the patient on a medication to take the discomfort (burning, urgency, frequency, sometimes even blood) away. If the culture shows bacteria in the urine, then the least broad-spectrum antibiotic for those particular bacteria would be prescribed. If the culture shows no true infection then such urinary tract inflammation can be successfully treated with one week of the urinary anesthetic (the drug that turns your urine in a dark orange color). This approach lowers the risk of antibiotic resistance. In the July 14th 2019 New York Times, a front-page article was entitled, “As a common infection evolves, drugs falter and patients suffer.” This article went into great detail talking about common urinary tract infections now requiring treatment with heavy duty intravenous antibiotics as a result of increasing drug resistance. In fact, the article mentioned that last year researchers reported in a study that one third of all urinary tract infections in Britain were resistant to “key antibiotics. Dr. Steven R. Goldstein MD is one of the best obgyns in NYC. Visit his website at www.goldsteinmd.com for more information or to schedule an appointment.
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