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Thread: Can pseudomonas live in the supra-pubic catheter site?

  1. #1

    Can pseudomonas live in the supra-pubic catheter site?

    The reason I ask is because for the 5th time 10 months my urine has tested positive for pseudomonas. I've been feeling rough since last week and full C&S has shown:

    Antibiotic therapy
    Microscopy: WBCs 40 - 100 per ul
    .
    .
    Urine Culture: 10,000-100,000 orgs/ml
    Pseudomonas sp.
    Pseudomonas
    Ciprofloxacin Sensitive
    Gentamicin Sensitive
    Piperacillin-Ta Sensitive



    I have no idea how I keep getting the same bug so my question is:

    Is it possible for pseudomonas to be present in the tissue of my supra pubic stoma site? Could this be how it is getting into my bladder?


    Recent cystoscopy showed no stones
    All urine bags are single use - changed daily
    Catheter changed every 3 weeks
    4 litres of filtered water everyday
    40ml VVF instilled for 30-45mins
    Vit C and cranberry supplements


    TIA



  2. #2
    How do you clean your stoma site? The stoma site can be sprayed and cleaned with Vetericyn two times a day. Spraying the stoma site should allow Vetericyn to seep around the catheter and into the stoma pathway.

    When you have taken antibiotics for your infections have you taken a 10-14 day course, or shorter.

    Since you have had numerous Pseudomonas infections, have you been treated with the same antibiotic each time? It is a good idea to change up the antibiotics used on a single bacteria when it recurs. For particularly stubborn cases, you may need to try an IV antibiotic.

    If you are male, check with your urologist about the possibility of bacterial involvement in the prostate. (Please complete profile. It makes it easier for people who wish to respond to your questions.)

    All the best,
    GJ

  3. #3
    Have you been checked for bladder stones? They can harbor bacteria, the result of which is recurrent infections.
    It is easier to find men who will volunteer to die, than to find those who are willing to endure pain with patience.

    ~Julius Caesar


  4. #4
    Quote Originally Posted by gjnl View Post
    How do you clean your stoma site? The stoma site can be sprayed and cleaned with Vetericyn two times a day. Spraying the stoma site should allow Vetericyn to seep around the catheter and into the stoma pathway.

    When you have taken antibiotics for your infections have you taken a 10-14 day course, or shorter.

    Since you have had numerous Pseudomonas infections, have you been treated with the same antibiotic each time? It is a good idea to change up the antibiotics used on a single bacteria when it recurs. For particularly stubborn cases, you may need to try an IV antibiotic.

    If you are male, check with your urologist about the possibility of bacterial involvement in the prostate. (Please complete profile. It makes it easier for people who wish to respond to your questions.)

    All the best,
    GJ
    Thanks for the reply - the site itself is fine. I wash daily with saline solution and no problems - ie puss or smell etc. My question really was whether or not pseudomonas could live in there and be the source of the infection?

    I'm really disappointed with VVF particulary when so many have had such great success with it. However, I haven't given up hope with it. I'm thinking if I could find out why I keep getting this bug, I'd have better luck with the VVF.

    I'm on 14 days of cipro but if I get this bug again, i'll try a different antibiotic. I've been referred to see an infectious disease specialist so it will be interesting to his/her thoughts.

  5. #5
    the culture and sensitivity tell your provider what to prescribe to kill it. That is why it must be done each time!
    these are smart bugs!
    cwo

  6. #6
    Senior Member zillazangel's Avatar
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    Psuedomonas is notoriously difficult to kill. It can survive multiple courses of antibiotics to which it is susceptible. The key is to test after the antibiotics are done to see if you still have it - to be sure you are actually wiping out the infection. If after 14 days (or whatever course is prescribed), it is not gone (even if symptoms are gone), you will need to continue on the abx for longer or take a different one right afterwards. This was our experience with Chad.
    Wife of Chad (C4/5 since 1988), mom of a great teenager

  7. #7
    Quote Originally Posted by zillazangel View Post
    Psuedomonas is notoriously difficult to kill. It can survive multiple courses of antibiotics to which it is susceptible. The key is to test after the antibiotics are done to see if you still have it - to be sure you are actually wiping out the infection. If after 14 days (or whatever course is prescribed), it is not gone (even if symptoms are gone), you will need to continue on the abx for longer or take a different one right afterwards. This was our experience with Chad.
    Thanks. Will do. On 14 days of cipro and as soon as I'm done I'll submit another sample to check it's really gone.

    Sorry to hear Chad had this problem too. Did he get rid of it (for good)?

  8. #8
    Quote Originally Posted by Tayberry View Post
    Thanks. Will do. On 14 days of cipro and as soon as I'm done I'll submit another sample to check it's really gone.
    (for good)?
    Wait two or three days before you submit a specimen to the lab for a urinalysis (UA)/culture & sensitivity (C&S) to allow the antibiotic to completely clear your system.

    All the best,
    GJ

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