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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Long Can I Remain Untreated For Klebsiella Pneumoniae In Urine?

i have kleb.pneumonia in urine, took ciprofloxacine 5 days, did not work, yesterday took monuril 3g, symptoms seem worse, i am to have a urine test monday but this is when i will be on holiday abroad, i am worried monuril hasn't worked , how long is safe to be untreated, the lab report suggested imipeneme , but doctor is trying other abx. what is your advise?

Wed, 25 Jun 2014
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Infectious Diseases Specialist,  's  Response
Hi,

Welcome to HCM.

I understand your concern regarding UTI caused by Klebsiella pneumoniae. Klebsiella is a coliform which is normally found in the urinary tract and only significant count on culture is considered relevant. Your doctor is right in trying monurol as it is one of the effective antibiotics against Klebsiella.
I suggest you complete the course of antibiotics prescribed. Clearance of infection can be confirmed only by testing. I suggest you get a urine test done wherever you are going and the results are available in 24-48 hours.

Imipenem is a broad spectrum antibiotic used only when organism is resistant to commonly used antibiotics, so your doctor is right is not using it until very necessary.

Thanks.
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How Long Can I Remain Untreated For Klebsiella Pneumoniae In Urine?

Hi, Welcome to HCM. I understand your concern regarding UTI caused by Klebsiella pneumoniae. Klebsiella is a coliform which is normally found in the urinary tract and only significant count on culture is considered relevant. Your doctor is right in trying monurol as it is one of the effective antibiotics against Klebsiella. I suggest you complete the course of antibiotics prescribed. Clearance of infection can be confirmed only by testing. I suggest you get a urine test done wherever you are going and the results are available in 24-48 hours. Imipenem is a broad spectrum antibiotic used only when organism is resistant to commonly used antibiotics, so your doctor is right is not using it until very necessary. Thanks.