@Uroweb@SRU_Urology ooooh maybe we can’t put all UTI into the same bag??? Maybe it’s a continuum?? Maybe not all patients can have a few days of ABX and it’s all fine??
@SRU_Urology@Uroweb “These bugs are not dividing so they are not antibiotic resistant”.
REPEAT.
“These bugs are not dividing so they are antibiotic resistant”.
Let’s use more critical thinking in UTI testing and treatment.
Intracellular parasitisation of urothelial cells is a better term than embedded infections. These bugs are not dividing so they are antibiotic-resistant. Gentamicin cannot penetrate cells. @RKhasriya used this property to discover them in humans. So instillations seem pointless!
Intracellular parasitisation of urothelial cells is a better term than embedded infections. These bugs are not dividing so they are antibiotic-resistant. Gentamicin cannot penetrate cells. @RKhasriya used this property to discover them in humans. So instillations seem pointless!
We have all become obsessed with practising by guidelines, such that we impose them on patients for whom they were not designed. A useful heuristic is that 30% of the target patients will present exceptions. Bring back thinking and the clinical skills as taught by William Osler.
Why advise increased drinking for CUTI? The intracellular and biofilm microbes do not wash away. The urine contains many natural defensive chemicals, why dilute them? If taking an antibiotic why dilute it? If in pain, why not alkalinise instead? Why increase painful frequency?
"Embedded UTIs are very stubborn to diagnose and treat and a lot of people, including doctors, don't know about them," Dr Amhed shares on Tiktok.
https://t.co/EhA8XPr6rB
@SRU_Urology@Uroweb did anyone ever question the “magic cut offs” in UTI testing and diagnosis? And the data they’re based on? Please pay attention to the science and question the dogma in UTI testing and treatment.
@StephenTristram Fallacies and misconceptions in diagnosing urinary tract infection (2014), Sheela Swamy, Monika Gorny & James Malone-Lee
@sheela_swamy@JamesMaloneLee3
https://t.co/2Avj6lUZeU
@StephenTristram Fallacies and misconceptions in diagnosing urinary tract infection (2014), Sheela Swamy, Monika Gorny & James Malone-Lee
@sheela_swamy@JamesMaloneLee3
https://t.co/2Avj6lUZeU
@SRU_Urology UTI represents a huge disease burden globally. When will Swiss Urology acknowledge inadequate dud UTI testing missing 35% of infections? Please look to latest science and stop saying UTIs can be treated with NSAIDS. https://t.co/z8TOcRQVpk
Shocking findings on the lack of scientific consensus on what constitutes an infection threshold for a UTI. Also different thresholds for men and women? Why? @Uroweb@SRU_Urology@AmerUrological
https://t.co/BaWsinueAR
@PelvicHealth No it isn’t. IC is largely a myth. Many of us have a chronic UTI. When you treat with longer term ABX, patients get better. Stop the IC dogma. It’s ruining lives, not helping.
@jfitzgeraldMD @AshtiShah Using a test that doesn’t work properly (for UTIs) - cochrane systematic reviews have shown they miss ~30% of infections. Then a disease created called IC - which is a joke. Then thousands and thousands are successfully treated for chronic UTI w ABX. Stop the IC dogma.
@teslaeurope terrible service from Tesla Lausanne who made us take the train 2.5hr to Zurich to pick up a car only to tell us we have to supply the plates. Another 2.5hrs back with no car.
@TeslaSchweiz awful service from Lausanne. Made us take the train 2.5hrs to Zurich to pick up a car. No plates supplied. No one told us this. 2.5hrs back on the train. No car. They’re still expecting us to go back to Zurich to pick it up. Shockingly bad.