Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

192 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes Klebsiella infection while on treating with Magnex?

Answered by
Dr.
Dr. Vaddadi Suresh

Internal Medicine Specialist

Practicing since :2003

Answered : 959 Questions

default
Posted on Sat, 16 Aug 2014 in Urinary and Bladder Problems
Question: hi Dr, my niece was suffering from UTI (E.coli). she was given Magnex inj 0.5 g (IV) twice daily for days (12 july to 16 july). After that urine culture was given on 21 July and got report on 24 July and this time Klebsiella Pneumoniae is reported. can she get K.Pnuemoniae withing 4/5 days after giving Magnex
doctor
Answered by Dr. Vaddadi Suresh 24 minutes later
Brief Answer:
some more information needed please. .

Detailed Answer:
Hi
It is possible to get a second infection while on treatment with antibiotics. The possibilities include drug resistant organisms and complicated UTI.
Was this treatment initiated based on culture sensitivity and MIC levels or just started empirically?
Is ultrasound abdomen taken to rule out any structural abnormalities of the urinary tract?
What's the age and health status of the patient? Any disease like diabetes?
Please answer for better advice.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Vaddadi Suresh 15 minutes later
One day she had frequent urination and Dr adviced for urine culture. she was having E.coli and was given Magnex 0.5g twice (IV) for 5 days(12-16 july). on 21 july again urine culture was done and got report on 25th july and this time K.Pnuemoniae is reported. She was given Magnex after doing urine culture. but she got infected with K.Pnuemoniae 4/5 days after completing the Magnex injection. She is 10 yrs, USG was done, no structural abonarmalities in urinary tract. no diabetes, urea/creatinine, tc/dc are all with normal level. does not this anitibiotic provide protection for next 15 days to 1 month against 2nd infection? is it adviced to go for 2nd antibiotics(her report showing sensitive to amicacin, gentimicin etc) or gor for long term non-antibiotic treatment like with Niftas (something similar)?
doctor
Answered by Dr. Vaddadi Suresh 1 hour later
Brief Answer:
your answers..

Detailed Answer:
Hi,
Urinary infections with two or more organisms is not uncommon.
1. Does not this anitibiotic provide protection for next 15 days to 1 month against 2nd infection?
Ans:Not necessarily. It is extremely important whether the treatment is initiated with THE MOST SENSITIVE ANTIBIOTIC (lowest MIC) or not. A drug with mild sensitivety can well foster drug resistance and is the cause for recurrent infection. If the most sensitive antibiotic is chosen, YES, it will provide protection for the next few weeks or so; if not, it won't. Note that the second cultured organism is a different one and might be resistant to Magnex given earlier.
2. Is it adviced to go for 2nd antibiotics(her report showing sensitive to amicacin, gentimicin etc) or go for long term non-antibiotic treatment like with Niftas (something similar)?
Ans: yes, she is better treated with a second antibiotic (eg:amikacin) with high sensitivety for 1 complete week. NIFTAS IS ALSO AN ANTIBIOTIC and long term prophylaxes at this moment is not recommended, considering her age and lack of structural abnormalities of urinary tract.
Presently, she requires a second antibiotic, a thorough search for the cause of recurrence and observation. She should be fine soon.
Hope i am clear.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication
Medical Topics ,   ,  

Recent questions on  Klebsiella pneumoniae

doctor1 MD

Yes. I have klebsiella pneumoniae of the urinary tract. Does one ever recover from this infection? I have been quite ill for the last month. I have diabetes, high BP, hypothyroidism, chronic bronchitis, interstitial cystitis. I started out with bactrim, am now on trimethoprim and flagyl. I am 75 yrs of age.
mao
Hi, may I answer your health queries right now ? Please type your query here...

doctor1 MD

I have a persistant rash in the pubic area...clinical presentation is consistent with fungal infection, but it is unresponsive to OTC topical antifungals and one prescription antifungal. I have had no culture done. My sexual partner has had a vaginal culture done and tested positive for Klebsiella Pneumoniae. Could this also be causing my rash?

doctor1 MD

Sudden Vulva Ulcers. STD test done herpes/hpv all of them NEGATIVE ! took a Arcoxia for 3 days then they appear all of a sudden without a single sore or blisters or symptoms. all of a sudden. what can be the cause? Only klebsiella pneumoniae was...

doctor1 MD

Blood culture reports show organism isolated: klebsiella pneumoniae grown in culture What does this mean?

doctor1 MD

I Sarita Jain, 50 years old suffering from urinary tract infection after going through Right Total Hip Joint replacement (Details giving below) surgery on 14/09/2013 and have carried out URINE CULTURE AND SENSITIVITY TEST on 19/12/2013.
DETAILS OF HIP JOINT:
STRYKER EXETER V40 CEMENTED HIP STEM (Stainless Steel PMMA)
STRYKER EXETER V40 LOW PROFILE ACETABULAR CUP (Uhmwpe Duration Stainless Steel)
STRYKER V40 FEMORAL HEAD (Stainless Steel)

URINE CULTURE AND SENSITIVITY TEST:
Gram Staining:- PLENTY PUS ELLS,
PLENTY GRAM NEGATIVE BACILLI SEEN
Organism (s) Isolated:- KLEBSIELLA PNEUMONIAE

Sensitive to AMIKACIN (
CIPROFLOXACIN (1), ERTAPENEM (
NALIDIXIC ACID (16), NITROFURANTOIN (
PIPERACILLIN / TAZOBACTAM (8), TRIMETHO / SULPHAMETHO (
I am taking following medicine towards recovery in total hip joint replacement surgery:
NEWBONA PLUS CAPSULES every day twice and
FOSAVANCE 70mg /5600 IU weekly once for six months
My email id is YYYY@YYYY
Please advice me ANTIBIOTIC medicines for urinary tract infection.

doctor1 MD

Hi doctor my semen have growth with Klebsiella Pneumoniae and was given T.Claribib 500mg for 5 days - twice a day T.Microdix for the 3 weeks after the completion of the above.. I still hv the pain what should I do.. can I hv a injection..

doctor1 MD

Dear Sir;
I was suffering from chronic UTI; During urine culture and gram stain test;
Foll. Bacteria’s found 1) klebsiella pneumonia ; and 2) staphylococcus aureus;
For which doctor gave foll. Antibiotics for 10 days;
1)     L-CIN 750 ; once a day
2)     augmentin 625; twice a day
3)      Doxy-1 ; once a day;
Total for 10 days;
But after stopping of course after 2 weeks;
Sign of UTI (i.e. Pus coming from urethra ) again reoccurring;
Doctor asked to take Zospar(200mg) and Doxy-1 for 15 days?;
Also I have undergone for kidney stone treatment previously;
Is this period and treatment is enough to remove UTI completely?;
Please guide me