
← The Shivan Show with Shivan Sarna17 sept · 37 min
Why Does Your UTI Keep Coming Back After Antibiotics? | Ruth Kriz Part 1
A negative culture is supposed to mean the infection has gone. Ruth Kriz is a nurse practitioner who spent 35 years on chronic UTI and interstitial cystitis.
She says that in a chronic case a clean result often means the test could not reach it. The bacteria may be embedded in biofilm in the bladder wall. A culture may not find them. Antibiotics may not reach them. I asked her what accurate testing looks like instead and why she treats these infections in layers. If you have been told your results are clean while you still feel ill, start here.
Key Insights:
✅ Chronic Infection May Hide in Biofilm
✅ Culture Media Favors Fast Growing E. Coli
✅ Macrobid Has a Short Half Life
✅ Persister Cells Do Not Divide
✅ Layered Infections Need Sequenced Treatment
✅ A UTI May Mimic Dementia Symptoms
Chapters:
00:00 Why UTIs Are More Serious Than You Think
02:12 What Is the Difference Between UTI and IC?