Had Recurrent Vaginal Candidiasis. Vaginal Swab Culture Showed Klebsiella Oxytoca. Do I Need Antibiotics To Cure This?

Posted on Thu, 24 Oct 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 24 Oct 2013 Answered on

Wed, 20 Nov 2013 Last reviewed on

Question : I had recurrent vaginal candidiasis for which I took one month course of fluconazole weekly.vaginal swab culture done as there was still itching and burning sensation.it came as klebsiella oxytocin .there was no growth of candida. I had 2 miscarriages already and trying to conceive.i m taking floreva probiotic tds.do I need antibiotic to cure this klebsiella infection and if I did , will candida recur.

Answered by Dr. Monika Choudhary (2 hours later)

Brief Answer: you should get investigations and antibiotics Detailed Answer: Hi XXXX, Welcome to health care magic. The Candida infection has been sufficiently treated with fluconazole but growth of Klebsiella oxytoca is ominous. It is a very resistant kind of microorganism that is mostly treated with injectable antibiotics of highest generation. You will need fluconazole for 2 weeks more to prevent recurrence and antibiotics for Kleb. Oxytoca under care of a local physician. The antibiotics mostly effective against Klebsiella oxytoca are beta-lactum and beta lactamase combination, cephalosporin, aminoglycosides or quinolones. Your physician will know the regimen Please get a urine routine and culture/sensitivity, Complete blood count and Renal function test sampling before you start the antibiotics and antifungal medication. I hope the advice will be helpful for you.

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