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UTI stenotrophomonas maltophilia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2584 Questions
User :   My mother 62 with MSA was diagnosed with UTI stenotrophomonas maltophilia. She has an indwelling catheter. Was referred to infectious disease physician. Currently on Cipro, until it is clear whether this is an infection or colonisation. She is completely dependent. Are there certain precautions that we as caregivers need to be taking?
Doctor :   Hello
User :   Hello
Doctor :   i am
Doctor :   give me one min please
User :   Hi, thank you for taking my question
Doctor :   i will go thru your query
Doctor :   how long has it been ?
User :   culture came back 2 days ago
Doctor :   ok and what dose she is on ?
User :   recurrent infections has been on antibiotics repeatedly for over a year
User :   just a moment please
Doctor :   ok well as per your query there are no specific guidelines to be taken by you as caregivers except do remember that if any one of you is even slightly sick they should avoid coming in close contact and children below the age 12 should also be avoided in close contact
User :   500mg
Doctor :   hope you are giving her plenty of fluids ?
User :   she takes in fluids with thickeners...difficulty swallowing
Doctor :   also give her citrus fruit juice
User :   citrus?
Doctor :   Cranberry juice contains high concentrations of Vitamin C and Quinolic Acid and are very good
User :   any conflicts with blood thinners?
Doctor :   citrus would be orange
Doctor :   no not ata ll
Doctor :   at all
Doctor :   what all medical conditions she is having ?
User :   i understand citrus..just curious as to why?
Doctor :   besides the UTI
User :   Multiple system atrophy
Doctor :   ok
Doctor :   well the course she is taking is correct
User :   good news, is it necessary to treat if it is colonized?
Doctor :   yes it is
User :   differnece in infection and colo?
Doctor :   sure
Doctor :   colonization means that the organisms are spreading and growing in number
Doctor :   in microbiology we have a graph for it
Doctor :   where as just a single organism can cause infection
User :   i see..interesting to me. What is the risk of blood infection from uti
Doctor :   UTI are usually limited to the urethra and chances of spread are rare
Doctor :   and with cipro its completely cure
Doctor :   make sure the dose is taken till the complete course
Doctor :   that's important
User :   absolutely..
Doctor :   the infection if not treated can go up to the kidneys but that's ONLY IF UNTREATED
User :   had some blood last week..did ultrasound all looks good
Doctor :   that's good well as long as there is good medical supervision there is absolutely nothing to worry about
User :   great, thank you for your time and knowledge
Doctor :   Your most welcome
Doctor :   i am glad i was able to help you
Doctor :   you have a wonderful day and wishing your mother a speedy recovery
User :   thank you have a great day!
Doctor :   Bye
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