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What Does My Urine Culture Result Report Indicate?

Posted on Fri, 17 Feb 2017

Question: I want this question to be reviewed by Dr PT XXXXXXX as this is a follow up question on the posting:

https://www.healthcaremagic.com/AskDoctorInboxServlet?page=viewQuery&queryId=315714

I have attached Urine culture report which has a password: PANT.

Regards,
Manoj Pant

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Take Inj Gentamycin twice daily for 5 days

Detailed Answer:
Hello
Thanks for uploading urine culture report .

Since minimal Inhibital Concentration (MIC)of Gentamycin is less than one, and lowest amongst sensitive antibiotics I would suggest you to take Inj Gentamycin twice daily for five days .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (1 hour later)

thank you Sir for your response, the medicine, i am taking currently Faronac 200 mg three times a day is not sufficient. Actually, i am avoiding injections as in the recent time so many injections has been injected to me so i am bit afraid of them now :(.

Answered by Dr. Dr. P. T. Patil (40 minutes later)

Brief Answer:
As per sensitivity report Faronac 200 (Farofpenem) will not be effective .

Detailed Answer:
hello
Thanks for follow up .

As per recent culture report bacteria are resistant to Penem group of drugs hence Faronac 200 will not be effective to control the infection and has to be stopped with immediate effect..

Since the antibiotic like Gentamycin and Amikacin to whom bacteria are sensitive to being available only in injectable form you have no option but to take injections of Gentamycin .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (6 hours later)

Dear Sir, my doctor suggested to take as per the attached report, i have started these now, can you please suggest, if the gentamycin are the same group?

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
As per report organisms are resistant to Penem group of antibiotics

Detailed Answer:
hello
Thanks for follow up .
As per culture report that you have uploaded organisms are resistant to Penem group of antibiotics hence I have suggested you to stop Foronac (Feropenem ).

Take your own decision regarding which antibiotic to be taken .

Thanks and Regards .
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (38 minutes later)

Sir, I have stopped feronac already and started taking injections of Tobramycin, Is this the same penem group of antibiotics? Sorry I really dont know this has as I have mentioned this to my doctor here who has suggested tobramycin. Can you please confirm so that i can tell my doctor straight. thank you very much for your feedback so far.

Answered by Dr. Dr. P. T. Patil (9 hours later)

Brief Answer:
Minimal Inhibitional Concentration of Tobraycin is not mentioned in report.

Detailed Answer:
Hello
Thanks for follow up .

I have not suggested Tobramycin as MIC for Tobramycin has not been mentioned in your culture report .where as IMC of Gentamycin is lowest hence it is sure to be very effective .that is the reason for suggesting Gentamycin .However you may continue taking Tobramycin .

Thanks and Regards.
Dr.Patil.

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Above answer was peer-reviewed by : Dr. Yogesh D