[NP-Clinical] UTI/lactobacillis

Mon May 7 03:17:22 PDT 2007

I will say that I’ve used probiotics in many patient scenarios.
Unfortunately, the NP’s that I work with in college health, who went to Dr.
Robert Hatcher’s conference in DC last month, said that in the case of
GYN/vag discharge, the evidence on probiotics hasn’t panned out like they’d
have hoped.  He’s the OCP guru who wrote Contraceptive Technology.  If you
ever have a chance to go to one of his workshops, GO!

I still think it can’t hurt and may help but was hoping the studies would’ve
supported.  As we know, a future one might.  Research certainly isn’t
perfect.  The studies have supported probiotic use in other, mainly GI,
etiologies.

The bad side is that they’re very expensive. 

Good luck.  It DID say that Augmentin was a good choice for abx and would
likely temporarily alleviate sxs’.  Looks like the baking soda sitz was the
best bed.  As long as there’s no Arm or Hammer in the sitz.  Ouch. . . ; < (

Priscilla 

   _____  

From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net]
On Behalf Of Paula Sumner
Sent: Sunday, May 06, 2007 10:41 PM
To: NP Clinical
Subject: RE: [NP-Clinical] UTI/lactobacillis

Hi,

Medscape has several older articles on probiotics and utis-just type in a
search on the topic and they pop up. Paula

Sue Wiers <sgwiers at hotmail.com> wrote:

Priscilla,

Thank you. That helps. It would explain the cyclical nature of her 
symptoms. Since I clearly haven't treated her correctly, I am guessing she 
will be in again soon.

Sue

>From: "Priscilla Merrill" 
>Reply-To: NP Clinical 
>To: "'NP Clinical'" 
>Subject: RE: [NP-Clinical] UTI/lactobacillis
>Date: Sat, 5 May 2007 16:01:01 -0400
>
>I see the link didn't work. Sorry. Go to www.advancefornp.com and search
>lactobacillosis and you'll get the article.
>
>
>
>This is the article I was referring to but it's not really related to UTI
>but cytologic vaginosis. Perhaps that's why it didn't ring a bell with me.
>
>Interesting anyway! Maybe some others will have an answer.
>
>Priscilla
>
>-----Original Message-----
>From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net]
>On Behalf Of Sue Wiers
>Sent: Saturday, May 05, 2007 8:09 AM
>To: np-clinical at nurse.net
>Subject: RE: [NP-Clinical] UTI/lactobacillis
>
>If you find the article, I would be interested also. I have one patient 
>who
>
>has had this scenario twice in the last couple of months and I wasn't sure
>what to do with her. Since she was symptomatic, I treated with Augmentin
>which resolved her symptoms and the next culture came back negative.
>
>Sue Wiers
>
>
> >From: "Priscilla Merrill" 
> >Reply-To: NP Clinical 
> >To: "'NP Clinical'" 
> >Subject: [NP-Clinical] UTI/lactobacillis
> >Date: Sat, 5 May 2007 06:51:42 -0400
> >
> >There was a very interesting article the past month or 2 on lactobacillus
> >overgrowth and UTI sx's. I wish I'd saved it! Now I can't find it or
> >recall which journal. I can search when I get some time but wondered if
> >anyone else had seen it? I wonder if it's related to TOO MANY of the
> >probiotics now being touted and put into food? I don't recall this from
> >the
> >article, however.
> >I see this all the time, the culture returns with >100,000 lb's but no
> >sensitivities and these women have frequent UTI sx's without bacteria, 
>yet
> >not suspicious for interstitial cystitis.
> >I wish I could recall the treatment modalities from the article. It may
> >have
> >been the boric acid caps. I just skimmed it, got busy and so now I've
> >forgotten. Anyone have suggestions?
> >Thanks,
> >
> >Priscilla Merrill FNP
> >
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