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    #1

    Klebsiella oxytoca UTI

    I was prescribed Keflex for a Klebsiella oxytoca UTI, and I know that I shouldn't take any antibiotic if I am asymptomatic, however everything I read about this bacteria is pretty scary. So should I take it or wait till I get the fever or chills. I was recently hospitalized a little over a month ago with sepsis And I have read that this bacteria antibiotic-resistant, I'm just so scared to get sepsis again but I have been on antibiotics since September 21st. Anyone else with this type of UTI?
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    #2
    Was this prescribed on the basis of a urine C&S only, when you had not symptoms? If so, I would encourage you to contact the prescribing physician and discuss with them the option of not treating colonization. I would caution you though that Klebsiella can be associated with sequestering infection sources such as stones and prostatitis, so if you have not been screened for these in the last few months, I would recommend doing so.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

    Comment

      #3
      Originally posted by SCI-Nurse View Post
      Was this prescribed on the basis of a urine C&S only, when you had not symptoms? If so, I would encourage you to contact the prescribing physician and discuss with them the option of not treating colonization. I would caution you though that Klebsiella can be associated with sequestering infection sources such as stones and prostatitis, so if you have not been screened for these in the last few months, I would recommend doing so.

      (KLD)
      Yes, The antibiotics was only prescribed from a urine sample. And I did ask if I could try treati this UTI without antibiotics and this was his response ...

      For klebsiella, even if it is asymptomatic, it should be treated.

      Comment

        #4
        You should still be screened for stones, prostatitis, etc. Who is telling you to treat colonization? Urologist? GP? Infectious disease physician?

        (KLD)
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

        Comment

          #5
          Originally posted by pukkap View Post
          Yes, The antibiotics was only prescribed from a urine sample. And I did ask if I could try treati this UTI without antibiotics and this was his response ...

          For klebsiella, even if it is asymptomatic, it should be treated.
          A urologist, however he doesn't have much experience with spinal cord injuries in my opinion. He was the doctor they came to visit when I was an inpatient.

          Comment

            #6
            Originally posted by SCI-Nurse View Post
            Was this prescribed on the basis of a urine C&S only, when you had not symptoms? If so, I would encourage you to contact the prescribing physician and discuss with them the option of not treating colonization. I would caution you though that Klebsiella can be associated with sequestering infection sources such as stones and prostatitis, so if you have not been screened for these in the last few months, I would recommend doing so.

            (KLD)
            What kind of symptoms are you referring to?

            Comment

              #7
              Originally posted by pukkap View Post
              Yes, The antibiotics was only prescribed from a urine sample. And I did ask if I could try treati this UTI without antibiotics and this was his response ...

              For klebsiella, even if it is asymptomatic, it should be treated.
              I thought they treat it if it's greater than 100,000. I could be wrong.

              Comment

                #8
                Originally posted by HACKNSACK44 View Post
                What kind of symptoms are you referring to?
                Symptoms : chills, flank pain, severe malaise.
                Signs: elevated WBC in the blood, fever, autonomic dysreflexia, urine leakage around catheters or unusual incontinence.

                (KLD)
                The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                Comment

                  #9
                  Originally posted by HACKNSACK44 View Post
                  I thought they treat it if it's greater than 100,000. I could be wrong.
                  For an AB person, yet. In the absence of any signs or symptoms as above, even a colony count such as this would be considered colonization in someone with SCI/D.

                  (KLD)
                  The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                  Comment

                    #10
                    Originally posted by SCI-Nurse View Post
                    Symptoms : chills, flank pain, severe malaise.
                    Signs: elevated WBC in the blood, fever, autonomic dysreflexia, urine leakage around catheters or unusual incontinence.

                    (KLD)
                    I don't get any of those symptoms when I get a UTI. I do leak around my sp and continue to leak until the antibiotics takes care of it.

                    Comment

                      #11
                      Originally posted by HACKNSACK44 View Post
                      I don't get any of those symptoms when I get a UTI. I do leak around my sp and continue to leak until the antibiotics takes care of it.
                      How was this diagnosed as a UTI? A positive culture (colonization) generally should not be treated.

                      (KLD)
                      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                      Comment

                        #12
                        Originally posted by SCI-Nurse View Post
                        How was this diagnosed as a UTI? A positive culture (colonization) generally should not be treated.

                        (KLD)
                        When this (>100,000 cfu/ml Klebsiella oxytoca and >100,000 cfu/ml Pseudomonas
                        aeruginosa) shows up on my C&S and I am leaking around my sp 24/7. If it wasn't treated I would still be leaking around my sp.

                        Comment

                          #13
                          Originally posted by HACKNSACK44 View Post
                          When this (>100,000 cfu/ml Klebsiella oxytoca and >100,000 cfu/ml Pseudomonas
                          aeruginosa) shows up on my C&S and I am leaking around my sp 24/7. If it wasn't treated I would still be leaking around my sp.
                          I also have a count over 100,000, luckily I was able to schedule an appointment with my usual urologist tomorrow who has far more experienced with spinal cord injuries and he told me to never go back to the urologist who told me to take the antibiotics, LOL.

                          Thank you for the recommendations KLD!

                          Comment

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