Vaginal Swab Culture Report Said Positive For Beta Haemolytic Streptococcus. Need Antibiotic?

Posted on Fri, 28 Dec 2012

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

Fri, 28 Dec 2012 Answered on

Thu, 17 Jan 2013 Last reviewed on

Question : IMMUNOLOGY
Sample type:     Swab
C. trachomatis (NAAT)Swab     Negative
N. gonorrhoeae(NAAT) Swab     Negative

MICROBIOLOGY
HIGH VAGINAL SWAB     .
Trichomonas vaginalis     Not seen
Epithelial Cells     +
WBCs     Not seen
RBCs     Not seen
Yeasts     Not seen
HVS CULTURE     +++ beta-haemolytic Streptococcus of
Lancefield Group B isolated.
~
_Streptococcus Sensitivity_
~
Penicillin . . . . . . Sensitive
Clarithromycin . . . . Sensitive
Clindamycin . . . . . Sensitive
Tetracycline . . . . . RESISTANT
NO N.gonorrhoeae, Candida or G. vaginalis isolated
Mycoplasma / Ureaplasma     Negative

Do I need to use antibiotics?

Answered by Dr. Mahesh Koregol (2 hours later)

Hi,

Thanks for the query.

I have read your query and I understand your concerns. Following is my reply:

Your high vaginal swab culture shows presence of streptococcus with sensitivity to antibiotics. Therefore you would need antibiotics to treat it. Among the antibiotics mentioned, it is better to use clindammycin vaginal pessaries. They are to be inserted into vagina at night before sleeping.

You can discuss about this with your treating doctor and take a prescription (clindamycin or any other sensitive antibiotic) from your doctor. I am sure you will be alright after taking the antibiotics.

I hope I answered your query. Let me know if you have any other concerns.

Regards,
Dr. Mahesh Koregol.

Above answer was peer-reviewed by : Dr. Prasad