Standard UTI tests could be missing a large number of women with infections, according to researchers.
The rapid dipstick test currently used for urinary tract infections works when bacteria infects the inside of the bladder, but not when bacteria gets inside the cells lining the bladder, chronic UTI expert Professor James Malone-Lee, told ABC News this week.
This test has been in use for 70 years, and has never been properly validated, according to Professor Malone-Lee.
Professor Malone-Lee says that it is repetitive, short courses of lower-dose antibiotic, particularly when different antibiotics are used, that contribute to antimicrobial resistance without solving the patient’s problem.
Chronic UTI can instead be treated using a maximum dose of first-generation urinary antibiotics, which can reach the hidden bacteria and contribute less to antimicrobial resistance because of their targeted action, Professor Malone-Lee says.
The antibiotics are given for a long period of time — sometimes as long as six years — in order to kill the bacteria embedded in the cell wall.
According to Professor Malone-Lee, in a 10-year review of 624 women given treatment, only one woman reported suffering a serious side effect.
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Source: ABC News