Doctor insights on:
Commensal Flora In Sputum
Suggests contamination with urogenital or skin flora.
>100,000 CFU/ml Lactobacillus species.
20,000 CFU/ml mixed gram positive flora.
What's it mean?
Means contaminated: Urine specimen from the surrounding area around urethra (opening where the urine comes out from). You may want to repeat the test , if your doctor still wants that, get a clean catch specimen, which entails cleansing the area first, passing some urine, then obtain a midstream urine sample, follow the lab instructions for that, best wishes ...Read moreSee 1 more doctor answer
Does the "beneficial bacteria" in yogurt kill candida albicans overgrowth in your intestinal tract?
Candidal overgrowth: This urban myth has not been scientifically proven, but it has not been disproved. The "balance" between bacterial flora and yeast cells in the intestinal tract (colon) is generally regulated by what you eat. If you choose to add unpasteurized yogurt to your diet it may well change the character of your stools, since it contains lactobacilli. Same available as a probiotic for oral use. ...Read more
Urinalysis culture? 10,000-50,000 CFU/mL of Mixed nonuropathogenic Gram positive flora. May represent colonizers from external and internal genitalia?
No: Lactobacillus species are in cultured unpasteurized yogurt. In your gut you have hundreds or thousands of different organisms all in competition with each other, including candida. When the relative numbers of these are disturbed the candida can be there in greater number & more likely to produce infection elsewhere. The lactobacilli may, by competition, decrease the number of candida. ...Read more
What does Gram positive cocci in chains, Moderate WBC and Normal upper respiratory flora in sputum mean?
Inflammation: A sputum gram stain/ culture that demonstrates what you mention suggests that there is no "pathologic" bacteria, or disease causing bacteria but something is causing inflammation, as noted by the white blood cells. This doesn't mean that you have a bacterial infection though. Normal flora is just that, bacteria that you commonly find in the upper respiratory tract(everything above the rib cage) ...Read more
Klebsiella oxytoca in sputum, asymptomatic abx given twice (cefuroxime/cipro)suspended by dr because reaction, worried about abx resistant bacteria?
Urine Culture Results
50,000-100,000 CFU/mL Staphylococcus coagulase negative not S.saprophyticus
10,000-50,000 CFU/mL Multiple organisms
See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, the colony count, the dominant organism and multiple organism all suggest that this is not real urinary infection. The organisms are likely to be skin contaminants. ...Read more
See below: Sputum specimens are generally obtained when a patient coughs up a specimen. This sputum is briefly in the mouth which is full of various usual flora bacteria. The sputum specimen usually grows some of these oral flora on culture. When patients are receiving antibiotics or if sputum is obtained directly from the bronchi via transtracheal aspirate or bronchoscopy the sputum can be sterile. ...Read more
history of sinus infections +dx of UCTD. Recent sinus cultures positive atypical bacteria (Serratia marcescens +Stenotrophomonasmaltophilia - Why?
ID physician: S maltophilia is an organism of low virulence and frequently colonizes fluids used in the hospital setting and patient cultures. Serratia species are opportunistic gram-negative bacteria that are widespread in the environment. And something is definitely wrong here...unless your on say prednisone (for MCTD) and didn't mention this. You should see an infectious disease physician ASAP. ...Read more
Seminal fluid result: microscopy: few gram +ve cocci seen. Few pus cells seen. Cultures: moderate growth of skin/commensal flora. Is it infection.
What are some common genera of pathogenic bacteria that have no species found in the human body naturally? Borrelia? Brucella? Yersinia? Mycoplasma?
The Microbiome... : Great thought question. However, you are assuming we know all the community of species of bacteria in the body (aka. The microbiome). Recently, we have discovered thousands of genera in our body through molecular techniques (most don't even have a name yet). Though it's tempting to generalize, the question you pose can't be answered with any reliability with what we know today. ...Read more
Positive for fungal spores
gram stain:few gram negative bacilli in singles, few gram cocci in singles and moderate epithelial cells & pus cells noted ?
Too many to list: Several dozen are commonly found. The complexity will be apparent to you as you review http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1287824/ ...Read more
No: Presumably there people that carry it and do not get sick. ...Read more
Is GBS a second cause of my UTI? culture results: 10,000 CFU/mL Streptococcus Group B, (S. agalactiae) AND >100,000 CFU/mL Escherichia coli
A total of 8 different organisms in my wound: e. Coli, acinetobacter baumannii, stenotrophomonas, are these hospital acquired infections?
Yes.: They can all be hospital acquired infections. ...Read more
Gram Stain Result
Rare Gram negative rods
N>10,000 CFU/mL normal upper respiratory flora present no squamous epithelial cells seen?
Aerobic semen culture showed enterococcus. Anaerobic culture was clear of bacteria. Does it mean an enterococcus species easier to be treated?
No: Aerobic means it grows in oxygen. Anaerobic means the bacteria grow in the absence of oxygen. Whether bacteria are aerobic or anaerobic does not determine how hard those bacteria are to treat. That is determined by whether we have readily available antibiotics capable of killing them. ...Read more
Gram stain sputum- presence of few epithelial cells, moderate number of pus cells,few gram positive cocci in chain observed in smear
What does this in?
Sputum gram stain: Sputum gram stain testing is not done nearly as often as it once was, since we now know it usually isn't very helpful in diagnosis. The white blood cells (pus cells) suggest infection like bronchitis or pneumonia -- but it's usually possible to judge this just by appearance of the sputum (e.g., yellow or green mucus). Gram pos cocci could be entirely normal bacteria. Discuss with your doctor. ...Read more
Please suggest some medicines for beta haemolytic staphyloococcus aureus organism detected in culture. Infection in throat with mild pain.
Infection: Why are you asking us this question? Your doctor cultures your throat and will prescribe you the appropriate antibiotic. This is not a forum to enable self medication or second guessing of your primary provider. If you did not get the future throat a doctor, then you need to. ...Read more