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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does this urine Culture Test Result Mean?

Two consecutive urine cultures have reported staph epi 100,000. The sensitivities included Bactrim (sulfa allergy), erythomycin, and the remaining drugs were IV cephlosporins, and vancomycin. Two different docs (one urologist and one nephrologist) ordered po Keflex and one added Flagyl due to recent history o C. diff. Their reasoning was that Keflex is a cephlosporin so it should work. The PCP claimed it was a contaminant even with 100,000 colonies. Will the Keflex be effective?
posted on Thu, 13 Mar 2014
Twitter Sat, 6 Jul 2019 Answered on
Twitter Mon, 8 Jul 2019 Last reviewed on
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General & Family Physician,  's  Response
Hello,

I see the antibiotics which the bacteria is sensitive and I can say that each one of them used can work to fight it.
I believe that taking keflex is useful but I don't think you should take metronidazole for Clostridium difficile history.
You can take it alone and if signs begin, go to a doctor take metronidazole.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Olgeta Xhufka, General & Family Physician
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What Does this urine Culture Test Result Mean?

Hello, I see the antibiotics which the bacteria is sensitive and I can say that each one of them used can work to fight it. I believe that taking keflex is useful but I don t think you should take metronidazole for Clostridium difficile history. You can take it alone and if signs begin, go to a doctor take metronidazole. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka, General & Family Physician