Dr Steven R. Goldstein MD is a top Obgyn in Manhattan Approximately two weeks ago, there was an article in the Science Section of the New York Times speaking about drug resistance (actually, in a gastrointestinal situation), which “has scientists worried.”
This is a follow up to theApril 14th content from Dr Goldstein reAntibiotic resistance. Dr Goldstein has had two patients who had confirmed urinary tract infections based on a culture and sensitivity test. Such a test not only identifies the actual bacteria and number of colonies present, but also will give a long list of various antibiotics and whether this particular bacteria is susceptible or resistant to each of these antibiotics. These two patients had confirmed urinary tract infections that were resistant to virtually every oral medication that we normally give. Their bacteria was sensitive to medications that would be intramuscular or intravenous.
Dr Goldstein had to call these patients and tell them that he treats urinary tract infection almost as a courtesy, and that he was not about to give a big shot in the buttocks or hang an IV of a drug that he had no experience with (since they were resistant to all the usual oral medications) and that they would have to go to urology to be treated for their urinary tract infection. Clearly, it is the overuse of antibiotics that has resulted in the rapidly emerging resistance to common oral medications.
If you have a urinary tract infection, per Dr Goldstein’s article on April 14th 2023, please beware of the rampant prescription of antibiotics for urinary tract infections. As can be seen from the two patients above, antibiotic resistance due to the overuse of antibiotics is a growing problem. Dr Goldstein, a leading Gynecologist in Manhattan, prefers a urinalysis and formal urine culture with sensitivities before prescribing anything.
If you are a woman in need of any form of gynecological care, please schedule a consultation with Dr Steven R. Goldstein at his Manhattan office or visit www.goldsteinmd.com