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Doctor insights on: Gram Negative Rods In Urine

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Dr. Lester Thompson
Board Certified, Pathology
28 years in practice
1M people helped
1

1
What does lactose fermenting gram negative bacilli urine mean?

Dr. Lester Thompson
Board Certified, Pathology
28 years in practice
1M people helped
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. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. Jonathan Jassey
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Dr. Crystal Twynham
Board Certified, General Surgery
28 years in practice
933K people helped
2

2
I am 25 weeks pregnant and my urine culture report shows: Growth of three types of gram negative bacilli. What does it mean?

Dr. Crystal Twynham
Board Certified, General Surgery
28 years in practice
933K people helped
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. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. Jonathan Jassey
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Dr. Dominic Riganotti
Board Certified, Infectious Disease
20 years in practice
1M people helped
3

3
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.

Dr. Dominic Riganotti
Board Certified, Infectious Disease
20 years in practice
1M people helped
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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Dr. Atul Singh
Board Certified, Nephrology and Dialysis
23 years in practice
81K people helped
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Gram negative bacilli found in urine? does this mean a urinary tract infection? Doc didnt even mention it.i am urinating more frequently but no pain

Dr. Atul Singh
Board Certified, Nephrology and Dialysis
23 years in practice
81K people helped
Gram negative bacilli found in urine? does this mean a urinary tract infection? Doc didnt even mention it.i am urinating more frequently but no pain

GNB: A urine microscopy showing GNB may not be infection and can be a contaminant. Suggest a clean catch urine be done and a urine culture of needed but done right. Sounds like you have no symptoms and this may not be an issue. ...Read more

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Dr. Jonathan Jassey
Board Certified
12 years in practice
825K people helped
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Dr. James Shoemaker
Board Certified, General Practice
35 years in practice
250K people helped
5

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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?

Dr. James Shoemaker
Board Certified, General Practice
35 years in practice
250K people helped
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. Julie Abbott
Board Certified, Preventive Medicine
40 years in practice
1M people helped
6

6
What's a rare gram negative rods mean? It was taken vaginally via gram stain.

Dr. Julie Abbott
Board Certified, Preventive Medicine
40 years in practice
1M people helped

This could be normal: Bacteria are classified, broadly, as being gram-negative or gram-positive (retains violet dye color after staining--gram stain-- a lab slide with specimen on it). And either being rod (cylindrical/barrel shaped) or spherical (cocci) when viewed under a microscope. Gram negative rods are very common in the genital tract, and it sounds like you don't have too many. I say probably normal. Good wishes ...Read more

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Dr. Ed Friedlander
Board Certified, Pathology
39 years in practice
137M people helped
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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

Dr. Ed Friedlander
Board Certified, Pathology
39 years in practice
137M people helped
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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Dr. Ed Kaplan
Board Certified, Hematology and Oncology
34 years in practice
725K people helped
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At the hospital, i had three blood cultures that contained gram-negative rods. What does this mean?

Dr. Ed Kaplan
Board Certified, Hematology and Oncology
34 years in practice
725K people helped
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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Dr. Klaus D Lessnau
Board Certified, Pulmonary Critical Care
31 years in practice
3M people helped
9

9
Gram negative rods sepsis?

Dr. Klaus D Lessnau
Board Certified, Pulmonary Critical Care
31 years in practice
3M people helped
Gram negative rods sepsis?

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

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Dr. Mark Safford
Board Certified, Critical Care
30 years in practice
163K people helped
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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.

Dr. Mark Safford
Board Certified, Critical Care
30 years in practice
163K people helped
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. Jonathan Jassey
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