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Suggest Treatment For UTI Caused By Citrobacter Koseri During 9th Month Of Pregnancy

Posted on Thu, 21 Jan 2016

Question: Hello Doctor, my wife is into 9th month pregnancy. Her CULTURE AND SENSITIVITY (VITEK) shows the observation as Citrobacter koseri 10‎^‎5 ‎CFU‎/‎ml‎. Please advise what it means. Also Epithelial Cells : 15-20/HPF & Pus Cells : 30-35/HPF in COMPLETE URINE EXAMINATION (CUE). Please suggest.

Answered by Dr. P. T. Patil (1 hour later)

Brief Answer:
Your wife has UTI

Detailed Answer:
Hello
Thanks for your query ,based on the facts and reports of routine urine test and culture that you have posted it appears that your wife has UTI the causative organisms being Citrobacter Koseri.
Citrobacter Koseri is a gram negative bacillus bacteria that causes infection of genitourinary organs and pneumonia .

The presence of 35 -40 pus cells is strongly suggestive of UTI which is confiermed on culture .

She needs to take appropriate antibiotics as per culture report like Cefriaxone or Amoxyclav twice daily .

Ensure she drinks more water to keep urine dilute

She should get cured within a week .

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. P. T. Patil (3 hours later)

Thank you for the information. Will it affect the baby?

Answered by Dr. P. T. Patil (5 hours later)

Brief Answer:
No it willl not affect baby .y

Detailed Answer:
Hello

Thanks for follow up .Since the pregnancy is almost near full term .It will not have any adverse effect on fetus .
Thanks and Regards.
Dr.Patil.

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