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Thread: UTI with weird bacteria - Nurse?

  1. #1

    UTI with weird bacteria - Nurse?

    I have a UTI again and this time the bacteria is Hafnia alvei .
    I can't find anything about this bacteria being in the urinary tract.

    I was given Cipro 500mg twice a day for 10 days.

    Have you had experience with this bacteria?

  2. #2
    No, I haven't heard of that one either. I looked it up and found a good article.
    http://cid.oxfordjournals.org/conten.../1040.full.pdf

    All the best,
    GJ

  3. #3
    This is a bowel organism that is associated with diarrheal illness. Have you had recent diarrhea with stool contamination of your hands before catheterization, or stool around your genitals?? While not a common bladder infective agent, it has been reported:

    http://www.ncbi.nlm.nih.gov/pubmed/11057506

    http://jmm.sgmjournals.org/content/50/3/208.full.pdf

    http://www.iasj.net/iasj?func=fulltext&aId=35589

    http://www.retroscope.eu/wordpress/hafnia-alvei/

    http://www.ann-clinmicrob.com/content/5/1/12


    (KLD)

  4. #4
    I had one with E coli!
    Life is what happens to you while you're busy making other plans. -- John Lennon

  5. #5
    Quote Originally Posted by LIP26 View Post
    I had one with E coli!
    That is not at all unusual...in fact it is the most common bacteria associated with UTI in both ABs and people with SCI...

    (KLD)

  6. #6
    Quote Originally Posted by SCI-Nurse View Post
    This is a bowel organism that is associated with diarrheal illness. Have you had recent diarrhea with stool contamination of your hands before catheterization, or stool around your genitals?? While not a common bladder infective agent, it has been reported:

    http://www.ncbi.nlm.nih.gov/pubmed/11057506

    http://jmm.sgmjournals.org/content/50/3/208.full.pdf

    http://www.iasj.net/iasj?func=fulltext&aId=35589

    http://www.retroscope.eu/wordpress/hafnia-alvei/

    http://www.ann-clinmicrob.com/content/5/1/12
    Thanks. I developed diarrhea / frequent bowel accidents while in the hospital on IV Zosyn for a UTI. C. Diff results were negative. I had a foley in the hospital. There were lots of times the stool got around my groin.

    I've completed 2.5 days of cipro which the NIH listed as something that is used for it but I'm not feeling better. My urine is now clear and doesn't smell horrible but my spasms and neuro pain are worse. Is this normal? I am taking 500mg 2x a day for 10 days.

    Should I cath more frequently than every 6h day and 8h night?

  7. #7
    Did your physician do a culture and sensitivity to be sure that the bug you have is actually sensitive to Cipro?? Did you check that out with him/her at 72 hours after the specimen was collected?

    You are likely to have less problems with UTIs if you cath every 4-6 hours. 8 hours is too long. You should not have more than 450 ml. in your bladder at one time, should be drinking a minimum of 2.5 liters daily, and should not let urine sit in your bladder as long as 8 hours.

    (KLD)

  8. #8
    Quote Originally Posted by SCI-Nurse View Post
    Did your physician do a culture and sensitivity to be sure that the bug you have is actually sensitive to Cipro?? Did you check that out with him/her at 72 hours after the specimen was collected?

    You are likely to have less problems with UTIs if you cath every 4-6 hours. 8 hours is too long. You should not have more than 450 ml. in your bladder at one time, should be drinking a minimum of 2.5 liters daily, and should not let urine sit in your bladder as long as 8 hours.

    (KLD)
    The physiatrist ordered the c&s but I didn't check back after 72 hours. She called in the cipro after 24 hours. Should the abx be working by now?

    I drink 64-72 oz of water usually but I get high cath volumes. Earlier after 6h and not having more than 8 oz of water since last cath I had 1500ml.

  9. #9
    Quote Originally Posted by SCI-Nurse View Post
    Did your physician do a culture and sensitivity to be sure that the bug you have is actually sensitive to Cipro?? Did you check that out with him/her at 72 hours after the specimen was collected?

    You are likely to have less problems with UTIs if you cath every 4-6 hours. 8 hours is too long. You should not have more than 450 ml. in your bladder at one time, should be drinking a minimum of 2.5 liters daily, and should not let urine sit in your bladder as long as 8 hours.

    (KLD)
    I spoke to her yesterday and they did do a C&S and the Cipro was chosen based off that. The UTI appears to be cleared from one standpoint (clear urine, no odor to the urine now, no bladder accidents) but I still have major spasticity/spasms and heightened neuro pain.

  10. #10
    after completion of the antibiotic, continue to monitor your symptoms. If symptoms return or worsen, get a repeat urinalysis and urine C&S at least 48 hours after completion of the antibiotic.

    pbr

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