### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
sir, my sister aged 27 y is suffering from pusscells full field and pain in left kidney from last 50 days, we done pcnl operation in aug 13 for kidney stone , mid june14 we met dr who operate pcnl and he Rx sepmax bid for 15 days that time pus cells fullfield and culture report saysno patogenic organism grown on culure. we take 15 days medicine and done urine test that shows 40-50 HPF( 17.6.14) pus cells dr again Rx sepmax for 10 days bid but after 2-3 days pain occure , now we change the Dr and he done another urine report (21.6.14) that shows pus cells full field again and he Rx amoxiclave 625( augmentin 625) for 15 days ,after 15 days we done anoter urine test and this time pus cells was 20-30 HPF Dr again continue the augmentin 625 for another 7 days ,after 7 days urine report shows 15-20/HPF but now this time Dr change the antibiotic and Rx Niftran(ranbaxy) for one month OD,and lasix one on alternate days for one month . now i am confused what i can do what is your opinion on this ,. can i continue augmentin625 can i stop augmentin and start niftran as suggest by Dr can we give both niftran and augmentin together is ther any side effect by giving together. Kindly provide your views and help me. thanks

### output:

HelloThanks for query. Your sister who has undergone surgery of PCNL for fragmenting stone in kidney has persistent UTI since surgery. As per your statement urine culture was done only once with no growth reported.However, there is persistent presence of pus cells detected in routine urinalysis which signifies infection. In view of unresponsive results to various antibiotics taken for adequate time it is likely that organisms causing infection may not be sensitive to antibiotics that have been given to her. I would suggest you to get her Urine culture done to trace out the organisms causing infection so that she can be given appropriate antibiotic as per culture report to combat the infection. Till then, you can continue both Augmenting and Nightcap. There are no serious side effects of both the Chat Doctor. .