Dr. Steven R. Goldstein is a leading Gynecologist in Manhattan, New York. In private practice for over 25 years, Dr. Goldstein sometimes encounters patients with urinary tract infections (UTI). The medical establishment today prescribes antibiotics for these urinary tract infections. In patients who believe they have a urinary tract infection, the dangers of overuse of antibiotics are present. All too often many physicians and many urgent care centers will simply dipstick a patient’s urine and if positive for a substance called leukocyte esterase they will initiate an antibiotic that is broad-spectrum enough to kill virtually any organism in the urine. In the last year I have seen two examples of something that I predicted would occur for more than a decade now. I have had two patients in whom we performed a urine culture that came back with bacteria that were resistant to virtually every oral antibiotic that we normally use. I unfortunately had to call those patients and inform them that I treat urinary tract infection almost as a “courtesy” and that I was not going to start an intravenous line or give them an intramuscular shot of some new antibiotic that I had virtually no experience with. They would have to go to a urologist or their regular doctor for treatment of their urinary tract infection. The way I prefer to treat presumed urinary tract infections is by starting a patient on a medication to take the discomfort (burning, urgency, frequency, sometimes even blood) away while a culture is being obtained. If the culture shows bacteria in the urine I would choose the least broad-spectrum antibiotic for that particular bacteria. 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). Dr. Steven R. Goldstein MD is an expert Gynecologist in Manhattan, New York in practice for over 25 years. Each patient receives individualized care and Dr. Goldstein is the only medical personnel you will see from the beginning to the end of your visit. Dr. Goldstein personally performs all examinations and transvaginal ultrasounds and Sonohysterography. Visit his website at www.goldsteinmd.com for more information.
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December 2020
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