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Doctor insights on: Gram Negative Rods In Urine

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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

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Dr. Adam Smith
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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


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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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Dr. Adam Smith
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A friend of mine has urine test & resulted rare gram positive cocci & gram negative bacilli-what does this mean? she has very high fever as well.

A friend of mine has urine test & resulted rare gram positive cocci & gram negative bacilli-what does this mean? she has very high fever as well.

Fever: OK...this is likely contamination of the urine source. In most infections there will be the predominance of one bacterial species causing the issue...and there will be many per high powered field. In her case, there are 2 types and only rare (per high powered field) and you didn't mention any white blood cells either. This doesn't look like much to my eyes. ...Read more

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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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Dr. Adam Smith
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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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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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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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I have gram negative bacili present at 5000CFU/ml . & coagulase negative staphylococcus > 10, 000 CFU/ml ..Do I need any antibiotics or not ?

I have gram negative bacili present at 5000CFU/ml . & coagulase negative staphylococcus > 10, 000 CFU/ml ..Do I need any antibiotics or not ?

UTI diagnosis: DIagnosis of a UTI is dependent on many factors: 1. the symptoms (fever, painful urination, bloody urination, abdominal pain, back pain); 2. microscopic testing of the urine (how many white cells, how much proein, how much blood, other chemicals); finally 3. the culture. Only interpreting all of these together can a physician accurately diagnose a UTI. Consult your doctor for your specific case. ...Read more

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What is gram-negative treating?

What is gram-negative treating?

Bacteria: Gram negative is not treating- it is a description of certain types of bacteria. ...Read more

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Dr. Adam Smith
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