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Doctor insights on: Gram Negative Rods In Urine

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I am 25 weeks pregnant and my urine culture report shows: Growth of three types of gram negative bacilli. What does it mean?

I am 25 weeks pregnant and my urine culture report shows: Growth of three types of gram negative bacilli. What does it mean?

Possible infection: Most people with bladder (urinary tract) infections have only one bacteria causing the infection. Having three different bacteria causing an infection is possible but rare. More often, there are several bacteria picked up off your skin when you urinated, and these are the bacteria that grew in the lab culture. See your doctor for a repeat culture; if you have symptoms, continue treatment. ...Read more

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Urine (Definition)

Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more

Dr. Vicken Poochikian
Board Certified, Internal Medicine
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What does lactose fermenting gram negative bacilli urine mean?

What does lactose fermenting gram negative bacilli urine mean?

Probably E Coli: There are many dozens of bacteria that can be lactose fermenting gram negative bacilli. This is just a classification scheme based on gram positive or negative; rod (bacillus) or cocci (ball); and what they grow on in a laboratory evaluation. Examples include e. Coli, klebsiella, enterobacter, citrobacter. ...Read more

Dr. Vicken Poochikian
Board Certified, Internal Medicine
36 years in practice
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Dealing with Blood in Urine (Checklist)

Rule out infection as a cause with a urinalysis or culture
Once
Ask your doctor to review your medications in case one is the cause
Once
Rule out kidney stones with your doctor
Once
If male, schedule a prostate exam
Once
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My gram stain results: many gram negative rods, few gram positive cocci, strep.-like, rare wbcs. I completed a 10 day course of pcn, i still have s/sx?

My gram stain results: many gram negative rods, few gram positive cocci, strep.-like, rare wbcs. I completed a 10 day course of pcn, i still have s/sx?

UTI Rx: Let the doctor who prescribed the penecillin know your symptoms and urinalysis/urine culture results and leave the phone number of your pharmacy so a new prescription can be called in immediately. ...Read more

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At the hospital, i had three blood cultures that contained gram-negative rods. What does this mean?

At the hospital, i had three blood cultures that contained gram-negative rods. What does this mean?

Sepsis: It sounds like you had a severe blood infection. Gram negative rods can come from the bowel or from a urinary tract infection. Untreated it could be deadly! it sounds like you are ok now and likely will have no long term problems...Just depends on the details! ...Read more

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Dealing with Blood in Urine (Checklist)

Get urinalysis with a mid-stream catch
Once
Visit PCP or urologist
Once
Follow up with urologist
Once
Note other symptoms, related medical history
Once
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What do u mean with gram stained smears shows numerous gram-negative rod-shaped bacilli?. Its my lab result please help

What do u mean with gram stained smears shows numerous gram-negative rod-shaped bacilli?. Its my lab result  please help

Bacterial infection: By gram negative rods / bacilli. You didn't say where, but even if this is sputum and you are a smoker, it's likely it's a real infection. Your physician knows how to deal with it, and if you've gotten the report, he/she has already got plans to treat it. ...Read more

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Gram negative rods sepsis?

Gram negative rods sepsis?

Common thing: Needs usually two antimicrobials at the start. ...Read more

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Dealing with Blood in Urine (Checklist)

Go to your PCP have a complete exam urinalysis, a culture sensitivity.
once
If all exams are normal, make a habit to drink a lot of water.
once
Request regular urine checks to see if the blood in your urine persist
once
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Gram negative rod blood infection after c-section; where it came from why it happened; do I have organ damage; they treated it 5 days after c-section.

Gram negative rod blood infection after c-section; where it came from why it happened; do I have organ damage; they treated it 5 days after c-section.

Infectious diseases: Blood stream infections by "gram negative rods" are often what we now call "healthcare associated infections" or hai's. Seen in hospitalized patients with indwelling urinary catheters or central venous lines. Patients who are chronically ill or immunosurpressed and those hospitalized for extended periods of time are more susceptible to these infections. ...Read more

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Dr. Vicken Poochikian
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