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Doctor insights on: Biomerieux Blood Culture Media Shortage

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history of sinus infections +dx of UCTD. Recent sinus cultures positive atypical bacteria (Serratia marcescens +Stenotrophomonasmaltophilia - Why?

 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

Dr. Jeffrey Wint
103 doctors shared insights

Blood Culture (Definition)

Blood cultures refers to taking a sample of blood and growing in the microbiology laboratory for invasive organisms. Typically blood cultures are used for bacteria but can also be used to try and identify fungal organisms in ...Read more


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X lab: urine culture test positive with e --coli. Y lab: no significant growth z lab (renowned in our city) klebsiella pneumoniae. What to do?

X lab: urine culture test positive with e --coli. 
Y lab: no significant growth
z lab (renowned in our city) klebsiella pneumoniae. What to do?

Pick your favorite.: Pick your favorite doctor that is. Something fishy is going on here. Need to get a good doc who can understand your symptoms and order and interpret testing. May want to reports discrepant results to labs. ...Read more

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Can platelet count of 482 be caused by "bad" sinus infection (found on brain mri) and seasonal hayfever? Haem-.374, rcc-4.39, hameoglobin-12.5, mcv-85, mch-29.2, (iron-12, ferritin-30, %sat-17.7 in dec)

Can platelet count of 482 be caused by "bad" sinus infection (found on brain mri) and seasonal hayfever? Haem-.374, rcc-4.39, hameoglobin-12.5, mcv-85, mch-29.2, (iron-12, ferritin-30, %sat-17.7 in dec)

Maybe: That platelet count is very slightly high. It could certanly be due to the inflammation associate with a bad sinus infection. Or it could be where you normally run--it is not so high that on it's own I would be concerned. However, if it goes higher or if you ever have problems bleeding or clotting, you should consult with your doctor. ...Read more

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Does bacteria Pseudomonas Fluorescens found in culture of expressed prostatic fluid require antibiotics for chronic prostatitis?My doctor says no.

Does bacteria Pseudomonas Fluorescens found in culture of expressed prostatic fluid require antibiotics for chronic prostatitis?My doctor says no.

Only if symptomatic: Finding bacteria by itself is not a reason for treatment. However, if you are having symptoms (Pain, burning, fever, drainage) then it should be treated ...Read more

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Is > 100, 000 col/ml staph coagulase negative beta lactamase positive in urine culture an infection or skin contamination?

Is > 100, 000 col/ml staph coagulase negative beta lactamase positive in urine culture an infection or skin contamination?

Skin contmaination: Coag negative staph on urine culture is not of pathological significance. Please consult the site below for preparation for specimen collection to avoid contamination. http://www.webmd.com/a-to-z-guides/urine-culture. ...Read more

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Are indiscriminate IV antibiotics used to suppress the establishment of septicemia through blood culture?

Are indiscriminate IV antibiotics used to suppress the establishment of septicemia through blood culture?

Hopefully not: One would think that your ICU physician might use targeted therapy or broad spectrum therapy, rather than indiscriminate treatment. ...Read more

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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

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

Contamination: Urinary tract infection is usually a single organism. GBS is a normal organism of the vagina. In your case, it is likely that e. coli is the responsible organism for your UTI and GBS is just a contaminant especially that the count is 10,000 ...Read more

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Hi sir, i'm age of 25 female in my urine report micra albumin is 200mgs/l serum antinuclear antibody test 1:100 digestive is +ve?

Hi sir, 
i'm age of 25 female
in my  urine report 
micra albumin is 200mgs/l
serum antinuclear antibody test 1:100 digestive is +ve?

?: I do not understand the digestive part of your question and the ANA is not measured as a titer of 1:100. That said, a positive ANA and protein in the urine could be indicative of lupus or related diseases. Please consult with a rheumatologist or nephrologist (kidney specialist). ...Read more

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Our baby has effected klebsiella bacteria. Found from urine culture test. Is that serious?

Our baby has effected klebsiella bacteria. Found from urine culture test. Is that serious?

Common germ: This is not the most common but is a common germ for urinary tract infections. It generally responds to a number of antibiotics. ...Read more

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Which urine stream is required (c/s) for klebsiella pneumoniae detection?

Which urine stream is required (c/s) for klebsiella pneumoniae detection?

Culture: I am not sure what urinary stream you mean but a clean catch which is sent for a urine culture is sent from the midstream if possible and if not possible must clean the outside of the genital prior to voiding. ...Read more

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Urine culture shows kllebsiella pneumonia(esbl+carbapenemase).Sensitive drugs only 2 out of 30 antimicrobial.I.E. Colistin & polymyxin b.What to do?

Multidrug resistance: More information is needed before advising on what to do next. Why was the urine culture checked? what were the patient's complain? ---> It may be what we call asymptomatic bacteriuria. In that case no treatment is indicated. ...Read more

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Kleb pneumoniae found - urine of parkinson patient.Neuro dr.Referred to uro & id.But senstive drugs are renal & neuro toxic.Will nephrologist solve it

Kleb pneumoniae found - urine of parkinson patient.Neuro dr.Referred to uro & id.But senstive drugs are renal & neuro toxic.Will nephrologist solve it

UTI: Klebsiella UTI can be serious. Klebsiella is often sensitive to cephalosporin antibiotics, which are safe for kidneys and brains. Advanced penicillin derivatives also are generally safe for both organs. ID expert is best advisor. Avoid gentamicin or tobramycin. ...Read more

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Urine culture has mixed growth of 4 bacteria species isolated. Viable count: <10 (small letter 4) /ml probably contaminants.What does this mean to me?

Urine culture has mixed growth of 4 bacteria species isolated. Viable count: <10 (small letter 4) /ml probably contaminants.What does this mean to me?

Meaningless: Almost certainly this means 1) you don't have a urinary tract infection and 2) the urine specimen was not a good "clean catch"; all those bacteria almost certainly come from your vaginal opening, labia, etc. (That's why the lab called them "probably contaminants".) ...Read more

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Blood test showed high white blood cells (12.7), Neutrophils at 11.4 (89%). Severe, chronic hip/joint paint, vision/hearing loss, tachycardia, help??

Blood test showed high white blood cells (12.7),  Neutrophils at 11.4 (89%). Severe, chronic hip/joint paint, vision/hearing loss, tachycardia, help??

5 problems: You've mentioned 5 problems. Unlikely that a single diagnosis is going to tie them all up into one, single, neat package. You need a complete evaluation. If persistent, some of your symptoms are potentially serious. I urge you to make an appointment and be seen soon. ...Read more

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Red cell.2-4 pus cell 20-25 uretheral discharge specimen culture. No growth of pathogenic bacteria bacterial count.9, 000 ml is this normally?

Red cell.2-4
pus cell 20-25
uretheral discharge specimen
culture. No growth of pathogenic bacteria
bacterial count.9, 000 ml

is this normally?

UTI: It sounds like there is an infection even if the culture is negative and colony count low. It may be partially treated and continued antibiotic coverage necessary. If symptoms don't improve revaluation with repeat urinalysis and culture as well as an imaging study may be needed to evaluate your kidneys. ...Read more

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Low white blood cell count (transfusions required), pelvic infection (no response to antibiotic) Doc suspects autoimmune but stumped. Ideas?

Low white blood cell count (transfusions required), pelvic infection (no response to antibiotic) Doc suspects autoimmune but stumped. Ideas?

Not autoimmune: rather could be immunodeficiency, and the low white cell count?can be due to several causes. Immunodeficiency, can be primary or secondary, the latter could be your case, again for a multitude of reasons, overwhelming infection, certain drugs that suppress the immune system, certain viral infections, superbugs, and others. You may need a combination of IV antibiotics and a team approach, good luck ...Read more