Q: urine clean catch 8,000 cfu/ml gr. b beta hemolytic strep <10,000 cfu/ml mixed urogenital flora doc did not give abx for this. what does it mean?

No infection.: Strep often colonlizes the genital tract without causing infection; it doesn't require treatment when found in the urine or on a genital swab unless you're pregnant. Mixed flora means the urine sample you gave was contaminated with bacteria from your genital skin/hair and doesn't indicate infection. If you are having painful urination, frequency, or urgency, get re-tested.

Q: what does this mean. urine culture 10,000 to 40,000col/ml alpha hemolytic streptococcal are organism found in skin flora. they may be opportunistic to compromised people. contact lab within 5 days if antibiotic susceptibility testing is needed?

: This is a common contaminant bacteria and it does not require antibiotic treatment. Unless you have symptoms of bladder infection(frequent urination which is associated with a sense of urgency to urinate), you do not need to do a urine culture. If you have the above symptoms then you should visit your doctor for further management.

Question 1

does alpha hemolytic and strep in a urine culture need treatment?

Accepted Answer

No: Alpha hemolytic strep is usually a contaminant.

Question 2

treat alpha hemolytic strep on urine culture?

Accepted Answer

See below : We usually do not treat positive urine cultures unless the person has urinary symptoms such as burning while urinating, urinating much more than often, or bloody urine...The main exception when we do treat positive urine cultures regardless of symptoms is in pregnant women. Anyways you should definitely check with your doctor.

Question 3

random urine: 
culture: lactobacillus/alpha hemolytic strep 10,000 col/ml (isolate 1)
culturegram positive coryneform bacillus/cocci 1,000 col/ml (isolate 2)

ob says its just a mixed urine culture & not infection. is this for certain? 22w & worried?

Accepted Answer

: It is possible that you did not collect the urine specimen correctly and it was contaminated with vaginal fluid. 
Visit this site for instruction on proper urine collection and talk to your doctor if urine culture needs to be repeated. https://medlineplus.gov/ency/article/007487.htm#:~:text=To%20collect%20the%20urine%20sample,urinating%20into%20the%20toilet%20bowl.

Question 4

how do u treat urine positive for alpha hemolytic streptococcus and lactobacillus? positive nitrates

Accepted Answer

No treatment needed: These bacteria do not cause urinary tract infection. They come from your vagina or labia, i.e. the urine specimen was not a true "clean catch". THe positive nitrates may mean you have a UTI, but if so it is due to other bacteria that apparently were missed on culture. Discuss next steps with your doctor.

Question 5

urine culture - 10-49k beta hemolytic strep, group b - other gram positive organisms from urine.  can you interpret?

Accepted Answer

UTI: When you have urinary tract infection it is usually with gram-negative bacilli like e. Coli and they are present in &gt;100, 00 orgs/ml. Multiple organisms on urine culture usually suggest a contaminated specimen. Group b strep are more likely than not coming from the vagina.  This sounds like a contaminated culture.  You need to learn how to collect a clean midstream specimen for urine culture.

Question 6

urine culture showed 15000 cfu/ ml of alpha strep-like. not studied further. does this mean infection? why not studied further?

Accepted Answer

: This organism at this count can be a contaminant and if no symptoms needs no follow up exam

Question 7

urine culture showed 10,000 to 40,000 alpha hemolytic streptococcus species are organisms found in normal skin flora. what does this mean?

Accepted Answer

: The statement means they feel the sample contains contaminants from the skin surface introduced during the collection process, not germs indicating a bladder infection.

Question 8

i have a urine culture showing: greater than 100,000 col/ml group b beta hemolytic streptococcus(strep
agalactiae) . sensitivity not what does it mean?

Accepted Answer

Probable UTI: Group B beta strep is commonly carried in the vagina, usually without harm, except if present during labor, it can cause serious infections in the baby. However, it sometimes causes UTI as well. If you have typical UTI symptoms (urineary frequency, urgency, burning) or high white blood cells in the urine, you should be treated. If not, maybe retest and don't worry if neg. Discuss w/ your doctor.

Question 9

urine clean catch 
8,000 cfu/ml gr. b beta hemolytic strep
<10,000 cfu/ml mixed urogenital flora
doc did not give abx for this. what does it mean?

Accepted Answer

No infection.: Strep often colonlizes the genital tract without causing infection; it doesn't require treatment when found in the urine or on a genital swab unless you're pregnant. Mixed flora means the urine sample you gave was contaminated with bacteria from your genital skin/hair and doesn't indicate infection. If you are having painful urination, frequency, or urgency, get re-tested.

Question 10

what does this mean. urine culture 10,000 to 40,000col/ml alpha hemolytic streptococcal are organism found in skin flora. they may be opportunistic to compromised people. contact lab within 5 days if antibiotic susceptibility testing is needed?

Accepted Answer

: This is a common contaminant bacteria and it does not require antibiotic treatment.
Unless you have symptoms of bladder infection(frequent urination which is associated with a sense of urgency to urinate), you do not need to do a urine culture. If you have the above symptoms then you should visit your doctor for further management.

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Doctor answers about:

Alpha hemolytic strep in urine

A member asked:

Does alpha hemolytic and strep in a urine culture need treatment?

A member asked:

Treat alpha hemolytic strep on urine culture?

A member asked:

Random urine: culture: lactobacillus/alpha hemolytic strep 10,000 col/ml (isolate 1) culturegram positive coryneform bacillus/cocci 1,000 col/ml (isolate 2) ob says its just a mixed urine culture & not infection. is this for certain? 22w & worried?

A member asked:

How do u treat urine positive for alpha hemolytic streptococcus and lactobacillus? positive nitrates

A member asked:

Urine culture - 10-49k beta hemolytic strep, group b - other gram positive organisms from urine. can you interpret?

A member asked:

Urine culture showed 15000 cfu/ ml of alpha strep-like. not studied further. does this mean infection? why not studied further?

A member asked:

Urine culture showed 10,000 to 40,000 alpha hemolytic streptococcus species are organisms found in normal skin flora. what does this mean?

A member asked:

I have a urine culture showing: greater than 100,000 col/ml group b beta hemolytic streptococcus(strep agalactiae) . sensitivity not what does it mean?

A member asked:

Urine clean catch 8,000 cfu/ml gr. b beta hemolytic strep <10,000 cfu/ml mixed urogenital flora doc did not give abx for this. what does it mean?

A member asked:

What does this mean. urine culture 10,000 to 40,000col/ml alpha hemolytic streptococcal are organism found in skin flora. they may be opportunistic to compromised people. contact lab within 5 days if antibiotic susceptibility testing is needed?

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