Skip to content

    Announcements

    Exciting News for WebMD Members!

    We've been busy behind the scenes building new message boards for you. You'll have new and easier ways to find messages, connect with others, and share your stories.

    And, this will all be available on your smartphone or other mobile device!

    What Do You Need to Do?

    The message board you're used to will be closing in the coming weeks. While many of your boards will be making the move to our new home, your posts will not. Want to keep a discussion going? Save posts you want to continue (this includes your member profile story), so that you can re-post them in the new message boards.

    Keep an eye here and on your email inbox, we'll be back in touch soon to give you all the information you need!


    Yours in health,
    WebMD Message Boards Management

    Includes Expert Content
    Incontinence, Long Term Care Facility and Chronic UTIs
    avatar
    mkusnir1 posted:
    My father, a resident at a long term care facility, is 78, has had a stroke, suffers from full left side paralysis and is incontinent. He suffers from repeated bladder infections (UTIs), at least eight or nine in the last five years, several of which have put him in the hospital, one of which put him in ICU.

    He has seen a a urologist (no significant issues) and has been put on nitrofurantoin on a daily basis, yet he is still getting UTIs.

    Can this number of UTIs be seen as typical for a man in this condition? Is his incontinence at fault, or might there be issues at the care facility playing a role?

    Any help appreciated!

    Mark
    Reply
     
    avatar
    nwsnowrider responded:
    Depending on the type and extent of paralysis he has, the paralysis could be part of the cause. If his paralysis affects his ureters ( the tubes that connect the kidneys to the bladder) or his uretheral valves, it could cause backups, or a pathway for bacteria. Also, how he manages his incontinence can affect UTI frequency. If he uses a catheter or a condom catheter, or anything like that with a collection bag, this could be a cause of UTI's. If you were to couple this with a paralysis of a uretheral sphincter, it could even amplify the problem.
    If he is using absorbent products, make sure he is using a quality, high absorbency brief such as the Active Ultra Plus. Most nursing homes don't use these due to a higher cost, but the cost is definitely worth it. I use these myself and have not had 1 UTI or any skin breakdown. I bought them from http://www.activewithincontinence.com and they do sell sample packs. So give them a try. You might also have him start drinking cranberry juice everyday. Not the Ocean Spray Cranberry Juice Cocktail, but real cranberry juice. We get it from Trader Joe's but I have found it in the organic section at Fred Meyer as well. Good luck!!!!!
     
    avatar
    Diane K Newman, RN-C, MSN, ANP responded:
    It is unusual to see repeated UTIs in a man. The incontinence is not causing the infections. Are you sure that they have adequately treated his infection? What is the organism?


    Helpful Tips

    How to prevent UTIsExpert
    Changing some of your daily habits may help you avoid urinary tract infections. Drink lots of fluid to flush the bacteria from your ... More
    Was this Helpful?
    20 of 34 found this helpful

    Related Drug Reviews

    • Drug Name User Reviews

    Report Problems With Your Medications to the FDA

    FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

    For more information, visit Diane Newman's website