What Does My Lab Test Result Indicate?
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Sat, 30 Apr 2016
                                           
                                        
                                        
                                        
                                            Medically reviewed by
                                            
                                                  Ask A Doctor - 24x7 Medical Review Team
                                            
                                        
                                        
                                            
                                                
                                                Sat, 30 Apr 2016
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Thu, 16 Jun 2016
                                                
                                                
                                                Last reviewed on
                                             
                                            Question : a susceptibility test has reported that we are resistant to Gentamicin. In the event correlate 
suspected peritonitis would you expect IV Gentamicin to used to treat this infection or would you suggest another form of antibiotics. The susceptibility test was requested to investigate a possible urinary tract infection. the question is based on acute diverticulitis and bowel perforation leading to peritonitis. .we just want to know if resistance to Gentamicin in a uti would be the same as resistance to treating peritonitis. .
                            suspected peritonitis would you expect IV Gentamicin to used to treat this infection or would you suggest another form of antibiotics. The susceptibility test was requested to investigate a possible urinary tract infection. the question is based on acute diverticulitis and bowel perforation leading to peritonitis. .we just want to know if resistance to Gentamicin in a uti would be the same as resistance to treating peritonitis. .
                                    Brief Answer:
Answer given below
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
If an organism is resistant to any certain antibiotic, that antibiotic should not be used to treat that infection.
In your case, it is a different issue. The organism causing urinary tract infection is resistant to Gentamicin. So it should not used to treat urinary tract infection.
But peritonitis is caused by bowel perforation. It is a different focus of infection. So it is not the same as the organism causing urinary tract infection which is resistant to Gentamicin.
Regards,
Dr.R.K.
                                    
                            Answer given below
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
If an organism is resistant to any certain antibiotic, that antibiotic should not be used to treat that infection.
In your case, it is a different issue. The organism causing urinary tract infection is resistant to Gentamicin. So it should not used to treat urinary tract infection.
But peritonitis is caused by bowel perforation. It is a different focus of infection. So it is not the same as the organism causing urinary tract infection which is resistant to Gentamicin.
Regards,
Dr.R.K.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Thanks you doctor. a further question following 2  urine examinations  12 weeks apart.  The same bacteria namely  e coli was identified as a UT I infection, is it possible that  you can be resistance to cepalexin  and then 12 weeks be susceptible to cepalexin,  how can this be possible.
                                
                            
                                    Brief Answer:
Possible
Detailed Answer:
Hi,
If the first infection was cured and 12 weeks later you got infected again with another strain of E coli, then it is possible.
Regards,
Dr.R.K.
                                    
                            Possible
Detailed Answer:
Hi,
If the first infection was cured and 12 weeks later you got infected again with another strain of E coli, then it is possible.
Regards,
Dr.R.K.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                Answered by
                                                    Get personalised answers from verified doctor in minutes across 80+ specialties
                        
                                
                                