Morganella morganii in culture CRE and I am resistant to all antibiotics

I am 80 years old, in good health, but I have always had UTIs and have had approximately 10 courses of Antiobiotics over the past year. I have had 4 urine cultures this month from the following medical providers - my OBGYN, Internist, Urologist and Infectious Disease Doctors. All cultures showed Morganella Morganii and in addition to Morganella Morganii the one from my Urologist also states CRE. I am resistant to all Antiobiotics and each of the above doctors tell me that if the pain is very bad I should go to the ER for IV Antiobiotics. I constantly feel like a UTI starting, but after a few days I feel okay except for frequent urination and pressure. Does Morganella Morganii CRE ever go away on its own or do I need to go to the ER. None of my doctors can give me an answer. As I stated,I am 80 years old, in good health except for my UTIs and have not been hospitalized for anything in over 10 years. I am not in much pain,if any, and I really don’t want to go to the ER unless absolutely necessary. Looking forward to your response. Thank you

Hi, guest.

I'm sorry to hear about your ongoing struggles with urinary tract infections (UTIs), particularly those caused by Morganella morganii and the presence of Carbapenem-resistant Enterobacteriaceae (CRE), which complicates treatment due to antibiotic resistance. Morganella morganii is a type of bacteria that can cause UTIs, especially in older adults. When it's labeled as CRE, it means the bacteria have become resistant to a group of antibiotics known as carbapenems, which are often used for difficult-to-treat infections. These infections can be persistent and challenging to eradicate, particularly in the presence of antibiotic resistance.

If you're not experiencing severe pain, high fever, or other acute symptoms, it's understandable that you would prefer to manage your condition outside of a hospital setting. However, the decision to go to the ER should be based on the severity of your symptoms and your overall health status.

It's important to monitor your symptoms closely. If you notice any worsening of symptoms, such as increased pain, fever, changes in urine color or smell, or systemic symptoms like confusion or weakness, you should seek medical attention promptly. Drinking plenty of fluids, practicing good hygiene, and possibly reviewing dietary habits can also be part of managing your condition.

Since you've mentioned antibiotic resistance, it might be worth discussing with your healthcare providers about alternative treatment options or strategies. This could include different classes of antibiotics, long-term low-dose antibiotic prophylaxis, or non-antibiotic approaches.

Given the complexity of your case, continued consultation with specialists like your urologist and infectious disease doctor is important. They might have insights into advanced or alternative treatment options that could be suitable for your situation.

At 80 and in good health, quality of life is an important consideration. Balancing the need for treatment with the desire to maintain a certain lifestyle is a key part of any treatment plan.

Good luck.