Doctor insights on:
No: The latter creature usually causes no problems. The former can make you quite sick. ...Read more
No: They are not the same thing, but they are both gram negative, rod shaped bacterium in the enterobacter family. ...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
Yes: Enterobacter aerogenes is a bacteria that can cause a variety of infections such as urinary tract infections, sepsis, pneumonia, skin/wound infections. It typically does not occur in people who are otherwise healthy. It can be picked up by patients who are hospitalized, particularly in an intensive care unit. It can be picked up from contaminated surfaces. Antibiotic resistance can be a problem. ...Read moreSee 1 more doctor answer
It may: But you need to do sensitivity testing against the particular strain of organism isolated, and with the increasing frequency of resistance development this is an essential component of management. ...Read more
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
What are the differences between MRSA (methicillin-resistant staphylococcus aureus) or c-diff (clostridium difficile)?
Totally different: They are totally different bacteria. Mrsa causes disease by invading the body, multiplying and causing tissue injury. Clostridium difficile causes disease by overgrowth in the intestinal lumen and producing toxins that injure the colonic mucosa causing diarrhea and colitis. ...Read moreSee 1 more doctor answer
It may but...: It depends on the resistance profile of specific strain of klebsiella. Many strains acquired in the 'community' are very sensitive to almost all antimicrobials except penicillin and Ampicillin and certainly sensitive to piperacillin/tazobactam. However, especially when acquired in a hospital, klebsiella can be quite resistant to therapy including pip/tazobactam. ...Read more
No definitely not: Zyvox, or linezolid, has great activity against Gram Positive bacteria. Serratia however is Gram Negative. Those classifications have to do with the structure of those different classes of bacteria. Make sure you ask your doctor 'what' is the rationale for treatment. Hopefully there is Gram Negative coverage included in your regimen. An Infectious Diseases doctor may be needed if things get tough ...Read more
Most do.: Although there are e. Coli that are resistant to all penicillin-type antimicrobials, these exist mostly in hospitals. Without the antimicrobial pressure in the health care setting, most e. Coli are quite sensitive to most penicillins even ampicillin. Even though penicillin itself is not very useful for e. Coli, really high doses in the "old days" worked. ...Read more
Can staphylococcus haemolyticus cause prostatitis?
All major std negative. Urine culture shows staphylococcus haemolyticus. Prostatitis?
The history.: See: http://wwwnc.cdc.gov/eid/article/5/1/99-0104_articleGet a more detailed answer ›
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
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