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What Is The Cause And Treatment For Pseudomonos Aeruginosa?

Posted on Fri, 24 Oct 2014

Question: hi, my daughter is 10y. she was in a hospital in thi end of XXXXXXX with pneumonia .3 weeks later she started to spit yellow
passages from throat or rynopharings /she can not explain me/ we gave a matirial from this in laboratory and it shows
bactetia -pseudomonas aeruginosa .we made 10 days fortun/ceftacidim/ by antibiogram ,but these yellow passages are still in her throat .is this means that the bacteria is still there and afer we make another laboratoty test and if the bacteria is still there what must i do

Answered by Dr. Arun (1 hour later)

Brief Answer:
yes do test again

Detailed Answer:
Hi
thanks fir writing to us.
Pseudomonos aeruginosa is hospital acquired infection.
It can be difficult to eradicate it fully.
If you have given full treatment as per antibiogram and still she has that secretions, my advice would be to do a repeat test on the secretions to see if the bacteria is cleared or persisting.
There is no need to change laboratory.
If persistent, you may need to give her antibiotics as per the new antibiogram. This bacteria is notorious in becoming resistant despite treatment.
Don't worry.
Treat for 14 days or longer until the culture is negative.

Wishing her speedy recovery.

Regards

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Arun (21 hours later)

WHAT DO YOU RECCOMEND ME
BY ANTIBIOGRAM
PIPERACILIN,CEFTASIDIM,TAZOCIN,IMIPENEM,
TOBRAMICIN,MERONEM,GENTAMICIN,AMICACIN,
TAVANIC,AZTIONEM,CIPROFLOXACIN,CEFOPERAZON,MEROPENEM
OR A COMBINATION
in sputum there was single leukocytes,what does it mean

Answered by Dr. Arun (4 hours later)

Brief Answer:
Meropenem and amikacin

Detailed Answer:
I would suggest a combination, preferably meropenem and amikacin.
Leukocyte is white blood cell , bodys response to infection.
Even if single leukocyte is present, because culture is positive, treatment is required.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Arun (1 hour later)

when she was in the hospital -9days medaxon,9days amikacin and 8days azatril
this was 3 months ago.is it possible again to use amikacin
and is it possible these Leukocyte are from the lungs not from the throat

Answered by Dr. Arun (3 minutes later)

Brief Answer:
Yes you can

Detailed Answer:
Yes
You can use amikacin again along with meropenem for synergistc action
The pus cells could be from throat or lungs depends on the sample,
but treatment is the same

Regards

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Arun (1 hour later)

because she has not temperature ,only these secretions is it nessecery to do this heavy antibiotics.is it possible only ciprofloxacin per mouth fot 7days or something like this

Answered by Dr. Arun (55 minutes later)

Brief Answer:
you can try

Detailed Answer:
Good that there is no fever.
You can try with oral antibiotics like ciprofloxacin for 7 to 10 days. But if no improvement in 3 to 5 days consider changing to injections.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Arun (16 hours later)

are you sure that ciprofloxacin will help and is it nessesary to make a combination with another antibiotic
can you suggest another combination with ather antibiotics ,thah will be sucssesful

Answered by Dr. Arun (3 hours later)

Brief Answer:
Ciprofloxacin should help

Detailed Answer:
IF THERE IS NO FEVER, CIPROFLOXACIN IS ENOUGH.
Complete the course and retest again.
Regards

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Arun (18 hours later)

HOW DANGEROUS IS FOR MY DAUGTHTER TO GIVE HER CIPROFLOXACIN SHE IS 10Y
OLD AND I MUST BE 100% SURE THAT THIS ANTIBIOTIC HELPS HOW TO UNDERSTAND-MAY BE THE SECRETIONS MUST STOP OR WHAT

Answered by Dr. Arun (1 hour later)

Brief Answer:
it is safe

Detailed Answer:
Dont worry it is safe
You need to test secretions again after 10 days of ciprofloxacin.
If culture becomes negative, that is the endpoint.

Regards

Above answer was peer-reviewed by : Dr. Ashwin Bhandari