What You Need to Know About Resistant Urinary Tract Infections

Jul 13, 2019 · 12 comments
jozee (CA)
I took Cipro for a UTI and ended up in the hospital. Whne I returned home I did some researched and found D-Manoose. Cleared me up and has kept me UTI free for ten years. People need to understand that there are options worth trying OUTSIDE of antibiotics. Your doctor won't tell you about them, but they do exist.
Laurie Churchill (New Mexico)
Agreed re lack of attention in this article to elderly women and UTI causes and prevention. Vaginal dryness may contribute to UTIs in postmenopausal women. Please be more thorough and consider women beyond child bearing age.
Lin D. (Boston, MA)
@Laurie Churchill Thank you for noting that there are others factors aside from “poor bathroom hygiene.” The author could have also addressed women who have had hysterectomies.
SM (New York, NY)
We really need to start mentioning D-Mannose for prevent UTIs. I used to get UTIs all the time and ever since I started taking D-Mannose, I have not had one. Cranberry juice is NOT effective - D-Mannose is. I don't know why this is never mentioned. It took some painful nights and deep digging on the internet to find it but I recommend it to everyone.
Robert David South (Watertown NY)
Nothing develops resistance to alcohol. Why can't they develop a way to spray straight ethanol in there?
susan (nyc)
When I was a teenager I developed a UTI. I saw my OB/GYN and he suggested I drink cranberry juice on a daily basis. After I started consuming it I never had a UTI again.
sandhillgarden (Fl)
Not enough is said about the death rate of elderly women due to UTI's. Older women become less aware of the pain of a UTI, and antibiotics are often less effective or come with their own adverse side effects. Thus, UTIs can linger for months or longer, causing intermittent fevers and tiredness for seemingly mysterious reasons. The single biggest danger is sexual intercourse--just the friction is a risk factor. Society does not want to admit this, but sex in older women can lead to fatality, particularly for the woman who is usually celibate. To my fellow females: it ain't worth it.
Cathie Stewart (Illinois)
@sandhillgarden I also wonder about the effect of incontinence pads that many older women use. The pads are not inexpensive (especially when one is on a fixed income), which may discourage some women from changing them as frequently as recommended, in order to save money.
Michael Plunkett MD (Chicago)
@sandhillgarden. And the evidence for these statements? Elderly women have very little intercourse, mostly due to lack of partners if not to lack of desire. (Recent study in Medscape.) Yet many, many elderly women have UTIs and most of them don’t die.
Nova yos Galan (California)
@sandhillgarden There are remedies for dryness, and no need to cut sex out of an older women's life.
andrew passeri (warwick ny)
I am surprised that D-Mannose was not mentioned in the article as the literature has confirmed that it can help prevent urinary tract infections caused by e.coli by making the urinary tract slippery and therefore preventing the e.coli from adhering to the walls thus allowing for their removal before they set up shop for an infection
Jen (Iowa)
@andrew passeri Exactly what I was thinking. Cranberry isn't super effective but D-Mannose in the correct (high) dosage helps immensely.