Why would a Urologist start a patient on a Quinolone without having sensitivities to a urine culture? - how much for urine culture
The patient had a Foley catheter in place for a week. After he was removed from a urine culture yielded a gram-positive organism growth. The lab technician did not see the "sensitivity" to the antibiotic the organism was sensitive A.
When asked why not, he said: "The doctor needs to know what antibiotics gram positive organism. The patient was taking quinolone for months because the urologist said that he had prostatitis and was there for a long time. The patient with a burning sensation when urinating suffered for a long time. I think it has never been more sensitive to quinolones. When sensibility finally came after several months, the agency was not sensitive to quinolones ANY. Why did the patient has to suffer so long?
Monday, February 1, 2010
How Much For Urine Culture Why Would A Urologist Start A Patient On A Quinolone Without Having Sensitivities To A Urine Culture?
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4 comments:
Firstly, I'm sorry that your doctor will fail.
Well, I agree with the previous laboratory technician, not the ones who decide what they will do tests. Although I will say, as a nurse, if a positive culture for bacteria found to work to the hospital laboratory in the city to keep the sample for 24 hours. And if I forget any reason to consider the implementation of C & S, whether it is positive in general than the MD or nurse, and varify me run too well known. Of course, even if the nurses and laboratory of all the information for the doctor, who can always refuse, in which an antibiotic) therapy is to change (ABT.
For quinolones, say, Cipro, Levaquin, Tequin, etc. This group is usually a good choice for urinary tract infections, but also because of the use upon this group of ABT bacterial resistance has increased against the same. My other thought is just here prostatitis, which is simply expressed the inflammation of the prostate. This can have several causes, of which a bacterial infection. It was built on the principle that the prostatitis is caused by bacteria and was confirmed by an anti-inflammatoryanti-inflammatory drugs, ibuprofen, aspirin, etc. to start?
Basically, the doctor not to the rule of the nurses we need. Hammer We think that any prudent nurse do in a given situation. Any MD would caution S & S run the AU were positive. And even if the party is not a Foley catheter. MD should run another urine test within two weeks, because most of ABT provisions are nothing more than that and a high risk of developing resistance.
I am a laboratory technician and all I can say is that it is the responsibility of doctors for the sensitivity .. None of the laboratories in this work automatically for them .. .. Quinolone antibiotic its broadspectrom So, unless an agency is that this person is in trouble for some time and used different antibiotics in their choice of Lond .. Property to start .. are not usually required, sensitivity, if it is a "new" ... Infection usually begins with a broad Spectrom such as quinolones and does not work, or susceptibility to a good choice for your will .. commony with quinolone is the type of object used in urinary tract
It is a difficult question, I did feel very bad for the patient to endure the pain. There comes a time when you consider that the doctor should have the common sense to follow-up could lead to that point. Unfortunately, in today's world, you as a patient or his family knoledgable of any diagnosis that you or a loved one is treated. We all have our own lawyers to prevent such crimes. You should never feel bad or stupid to ask questions or speak. 'S Dr. put on their pants one leg at a time. (Like you and me:)
Another doctor stupid, I'm sorry, I think, at first glance, a quinolone is a good first choice, again, at least until C & S.
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