Urinary tract infection

Chris, welcome to MEDiscuss.

She certainly has indications for inpatient care - elderly, diabetes and an infection. The combination can be life threatening if not treated promptly. However, you mention that they suggested admission after a urine report that took a few days.

If it was a urine culture report and they suggested injections after checking that, probably the culture (a method where microbiologists see if any bacteria grows from blood/urine etc in an incubator) of the urine showed an infection that was sensitive to injectable antibiotics...

There is an entity called ESBL (extended spectrum beta-lactamase) producers. If she has an infection due to these organisms, she will certainly need immediate admission and treatment using higher antibiotics like piperacillin+tazobactam or imipenem/ meropenem.

If you can check the report itself, we will be able to discuss clearly... Her blood glucose levels are also important.

She has a significant infection. The organism grown in culture is an ESBL (Extended spectrum beta lactamase) producer. Which means that the antibiotics that worked in the lab may not work in the patient. Usually the patient is given one the following three antibiotics:

1. Meropenem or Imipenem
2. Piperacillin + Tazobactam
3. Cefoperazone + Sulbactam

When any one of these is used, the success rates are >90%.

Her blood glucose is also high and the doctors would have controlled it by now, preferably using insulin. How is she now, by the way?