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What Does This Vaginal Swab Test Report Indicate?

Posted on Mon, 8 Aug 2016

Question: Pls my vaginal swab results shows 2-3 pus cells and 5-6 epith cells.
Can i take 2grams of ceftriaxone injection and how effective will it be

Answered by Dr. Dr. Rakhi Tayal (17 minutes later)

Brief Answer:
Single dose will not be effective alone.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
Just 2-3 pus cells in vagina are suggestive of a mild infection. It usually needs mixed antibiotic like azithromycin with metronidazole for treatment. A single shot of ceftriaxone can help temporarily but is not likely to stop the recurrences. It is best to take proper antibiotic that your gynecologist prescribes.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

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

Follow up: Dr. Dr. Rakhi Tayal (9 minutes later)

Kindly explain further with regards to the antibiotic am suppose to take
Per your response i understand that 2grams of ceftriaxone injection is will not completely heal me
So i want to know the exact antibiotic to take and the dosage
Thank you

This could be useful

Quoted in the lab results
GRAM STAIN - few pus cells and Gram Negative Rods(++++) present. No GNID seen

Answered by Dr. Dr. Rakhi Tayal (13 hours later)

Brief Answer:
All are prescription medicines.

Detailed Answer:
Hello.
Thanks for writing again.
Metronidazole or same categorical drug (like Tinidazole/ secnidazole) is the treatment of choice to cure BV. It can be taken as 2 gm single dose. In mixed vaginal infection, AFS kit (combination of Azithromycin, Fluconazole & Secnidazole) is quite effective. Local application of 2% clindamycin gel is also helpful. For gram negative rods, norfloxacin twice a day for 7 days is recommended.In such cases, your sexual partner also needs complete course of treatment.
You need proper prescription after consulting your gynecologist.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

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

Follow up: Dr. Dr. Rakhi Tayal (27 hours later)

Hi,
Going back to your first answer, u said a single shot of ceftriaxone will only be temperal but not stop the reoccurances....
What do you mean by single shot... and what can stop the reoccurrance of pus cells and grand negative rods..

Answered by Dr. Dr. Rakhi Tayal (6 hours later)

Brief Answer:
Single shot means single dose.

Detailed Answer:
Single shot refers to a single 2 gm dose of ceftriaxone.
If you take it 1 gm twice a day for 7 days then it can help in stopping recurrences.
Regards.

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

Follow up: Dr. Dr. Rakhi Tayal (35 hours later)

Thank you so much
Your responses have been very useful...
But then i am being told it is a very strong antibiotic
I have taken the 2grams already and i havent had any adverse effect... i feel much better

My partner is who had the pains and burning is even feeling much more better
So my concern now is whether we should take more dose or just the two grams is enough

And pls i want you to explain to me what pus cells and Gram negative cells are and their use and effects on the body.
THIS COULD BE USEFUL: Quoted from my lab results
HVS M, C/S
WET PREPARATION -
Pus cells - 2-3
Epith. Cells - 5-6
RBCs - nil
T.vaginalis - nil
Yeast cells - nil
Clue cells - nil
GRAM STAIN - few pus cells and Gram Negative Rods(++++) present. No GNID seen.
CULTURE ISOLATE - Coliforms isolated

Transaction Reference : HCM205152

Answered by Dr. Dr. Rakhi Tayal (3 hours later)

Brief Answer:
Details below.

Detailed Answer:
Strong antibiotic does not mean too many side effects. If you have already taken ceftriaxone once then it is best to wait and see. In case you have a recurrence then do take oral antibiotic for 7 days after consulting your gynecologist.
Pus cells are dead white blood cells destroyed by the bacteria.
Gram negative bacilli or rods are the bacteria that cause the infection.
Regards.

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

Follow up: Dr. Dr. Rakhi Tayal (16 minutes later)

I meant to say i have taken 2grams of ceftriaxone (16/07/2016) 4days ago .
Do i still have to wait like you have suggested?
My partner who is much more better like i stated earlier after taking the dose is not completely eased of the pain hes feeling (in the penis)
He took the dose on 17-07-16 (3days ago)
Thank you
Transaction Reference : HCM205152

Answered by Dr. Dr. Rakhi Tayal (12 minutes later)

Brief Answer:
Do wait for recurrent symptoms for 7-10 days.

Detailed Answer:
After taking antibiotic, once the pain and symptoms subside but recurrence is usually seen after 7-10 days. Do watch for any pain in urination, burning, fever, etc. Do get a repeat culture done after 1 week to be sure that the infection has been treated.
Regards.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

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