Final answer:
The treatment for a man with UTI symptoms typically includes antibiotics, and older patients may need special consideration due to a higher risk of complications. Identifying the causative agent is crucial for effective treatment, especially in the context of antibiotic resistance. The choice between broad-spectrum and narrow-spectrum antibiotics depends on the availability of culture and sensitivity results.
Step-by-step explanation:
The management for a man with urinary tract infection (UTI) symptoms typically involves antibiotic therapy such as fluoroquinolones, nitrofurantoin, cephalosporins, or a combination of trimethoprim and sulfamethoxazole. Elderly patients, like the case presented, often require a careful approach as they are at higher risk for complications including sepsis and kidney infections. Pain medications can provide relief for dysuria, a common UTI symptom. Identifying the causative agent through urine culture is pivotal for tailoring the therapy effectively, given the rise of antimicrobial resistance. For example, if a urine culture and sensitivity test reveal resistance to antibiotics like ciprofloxacin, an alternative treatment must be prescribed that is effective against the specific pathogen.
In Robert's case, considering his age, weakened immune system, and history with prostatitis, it is crucial to choose the appropriate antibiotic. A broad-spectrum antibiotic may be commenced initially while awaiting culture results. Once the specific causative agent and its resistance profile are identified, narrowing the treatment to a more targeted antibiotic is preferable. This approach avoids unnecessary exposure to broad-spectrum drugs that could lead to further antibiotic resistance and potential secondary infections like yeast infections.