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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest medication for citrobacter koseri in urine?

I have been taking faropenem tablets for the last 5 days and recently took a urine test -- report attached. It still shows pus cells in 2-4 hpf count with luekocytes present. I had taken a urine culture test and the organism isolated was citrobacter koseri for which I took faropenem. Can you tell me what other tests and medication can be taken? What is the source of this bacteria? Thanks.
Wed, 27 Aug 2014
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Infectious Diseases Specialist 's  Response
Hi,

Welcome to HCM.

Citrobacter koseri is a gram negative coccobacilli which cause urinary tract infections commonly. It is normally present in intestinal flora and causes infection in immunocompromised patients. This bacteria is known to be resistant to many antibiotics and requires broad spectrum antibiotics. This bacteria is susceptible to faropenem and I suggest you continue the prescribed antibiotics for 5 more days.
Thanks.
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Suggest medication for citrobacter koseri in urine?

Hi, Welcome to HCM. Citrobacter koseri is a gram negative coccobacilli which cause urinary tract infections commonly. It is normally present in intestinal flora and causes infection in immunocompromised patients. This bacteria is known to be resistant to many antibiotics and requires broad spectrum antibiotics. This bacteria is susceptible to faropenem and I suggest you continue the prescribed antibiotics for 5 more days. Thanks.