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Thread: c&s showed Acinetobacter baumannii.

  1. #1

    Question c&s showed Acinetobacter baumannii.

    Even though there are no uti symptoms a recent followup ua & c&s showed Acinetobacter baumannii.
    Another ua & c&s is scheduled in a week.

    I haven't contacted my urological specialist until i see the future results.

    But......just asking...
    If it shows up)should i undergo the iv therapy even though symptoms are seemingly non-existent ?


    Has anyone else dealt with Acinetobacter baumannii?



    Of note: trying sample (ic) catheters lately.
    new cpap machine causing aerophagia-like symptoms. Stopped using cpap.

    Any comments would be welcome.


    Respectfully,

    F
    Last edited by FLAX; 06-23-2014 at 08:08 PM.

  2. #2
    ..i found a great deal of info searching the site ... My spelling was wrong on first search.


    thanks ccc
    Last edited by FLAX; 06-23-2014 at 08:45 PM.

  3. #3
    If there are no symptoms, there is nothing to treat.

  4. #4
    Quote Originally Posted by xsfxsf View Post
    If there are no symptoms, there is nothing to treat.
    i'd like to think so.

    ....feel like a bomb might blow with that in me......

  5. #5
    Super Moderator Sue Pendleton's Avatar
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    Is this the same bacteria you had before needing a follow up test? If not, then sounds like colonization only.
    Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

  6. #6
    As said the sensitivity report tells the provider what will kill the organism since there is so much resistance to meds- that is what we go by. Some meds are only IV.
    CWO

  7. #7
    Quote Originally Posted by Sue Pendleton View Post
    Is this the same bacteria you had before needing a follow up test? If not, then sounds like colonization only.
    No it is not the same bacteria.
    After researching this bacteria I am concerned about contamination of my caregivers. Most reports listed this bug as very contagious.
    Im isolating myself except for one caregiver who is aware of the situation.
    My only symptoms are tightness in the abdomen or stomach area and it is not too severe or abnormal.
    Nevertheless I've turned in another sample for testing this morning. We shall see.
    Feel free to chime in.
    Especially you professionals.

    Respectfully,
    FLAX

  8. #8
    Acinetobacter baumannii- is it the multi drug resistant one? That is the question.If can only be treated with IV- or IM meds then it is multimed resistant if can be treated with pills by mouth then it is not.
    We treat if in hospital but if colonized we wait for symptoms & treat with appropriate abx. It is one of the new multiresistant organisms.
    But you don't want to treat usually if no symptoms and you are in your home.
    All organisms are contagious if you don't wash your hands etc..wash before and after any contact with you or surroundings!
    I would clean your home -everything that can be wiped down with clorox-you can use with 20 % strength clorox or clorox wipes. Clorox kills the hard to kill stuff but don't breathe it in.
    It can also cause infections of other areas- such as wounds, pneumonia etc... but there has to be contact of some type.
    CWO

  9. #9

    Lightbulb

    Quote Originally Posted by SCI-Nurse View Post
    Acinetobacter baumannii- is it the multi drug resistant one? That is the question.If can only be treated with IV- or IM meds then it is multimed resistant if can be treated with pills by mouth then it is not.
    We treat if in hospital but if colonized we wait for symptoms & treat with appropriate abx. It is one of the new multiresistant organisms.
    But you don't want to treat usually if no symptoms and you are in your home.
    All organisms are contagious if you don't wash your hands etc..wash before and after any contact with you or surroundings!
    I would clean your home -everything that can be wiped down with clorox-you can use with 20 % strength clorox or clorox wipes. Clorox kills the hard to kill stuff but don't breathe it in.
    It can also cause infections of other areas- such as wounds, pneumonia etc... but there has to be contact of some type.
    CWO

    Your advice is well taken. We clorox'ed the house yesterday.

    It is the newer multi resistant strain. iv only...

    Luckily no symptoms except tight abdominal / stomach and thats easing up .

    Thanks for ur time.

  10. #10

    Angry My 1st experience with Acinetobacter Baumannii in my urine

    Quote Originally Posted by SCI-Nurse View Post
    Acinetobacter baumannii- is it the multi drug resistant one? That is the question.If can only be treated with IV- or IM meds then it is multimed resistant if can be treated with pills by mouth then it is not.
    We treat if in hospital but if colonized we wait for symptoms & treat with appropriate abx. It is one of the new multiresistant organisms.
    But you don't want to treat usually if no symptoms and you are in your home.
    All organisms are contagious if you don't wash your hands etc..wash before and after any contact with you or surroundings!
    I would clean your home -everything that can be wiped down with clorox-you can use with 20 % strength clorox or clorox wipes. Clorox kills the hard to kill stuff but don't breathe it in.
    It can also cause infections of other areas- such as wounds, pneumonia etc... but there has to be contact of some type.
    CWO
    Well, here is my story:

    On February 25th of this year (2018) I had a bladder biopsy done. The results were that it was, unfortunately, "superficial or low grade cancer." My urologist removed the polyp/growth that was on the wall of my bladder but now he wants me to have an Ileal Conduit done (removal of the bladder through a urinary diversion which is major surgery). I am very disappointed in this diagnosis since I just had a bladder neck surgery closure and an SP catheter put him in June of last year and life was pretty good. Now this polyp was found during a cystoscopy in November of 2017. ANYWAY...

    I have had nothing but back-to-back bladder infections (no kidney infections) since that outpatient surgery even though it was done in the O.R. One of the first ones was Staphylococcus Aureus (MRSA) which went away once but I figure it is just hanging around because it came back. It was gone after treated with Doxycycline but when it appeared again, and since the C&S (Culture and Sensitivity) show that it was sensitive to Nitrofurantoin that is what he wanted to do even though, the second time it appeared... Klebsiella was found in there as well. This urologist is supposed to be great but I don't think he knows much about bacterium or bacteriai.

    My husband was a Chief Medical Technician but, unfortunately, he passed away in 2012. Prior to that he kept me out of harm's way and it is a long story how I got to be with this urologist but basically a home health agency nurse blew up the balloon in my urethra during a catheter change. THE FIRST TIME THIS IS EVER HAPPENED TO ME IN 38 YEARS. It was left there for 45 minutes (circumstances) and my urethra was damaged beyond repair so the urologist I had been seen since 2006 and with me having a great bladder and urethra before this event ... couldn't do anything and knew that I had to have female reconstructive surgery but she was not qualified to do this so she preferred me to the next best urologist in the are these type of surgeries at a nearby University Hospital.

    Anyway, after this last bout with Staphylococcus Aureus (MRSA) and finishing Nitrofurantoin (100 mg twice a day for 2 weeks) I was hoping all would be okay but only two days later I began to have my classic bladder infection symptoms so I requested another Culture & Sensitivity to be taken again. The results were Acinetobacter Baumannii. This is the first time I have ever heard of this infection and I have read everything about it. NUMEROUS articles. On the lab report (I always request a copy from the lab and I am familiar with infections and antibiotics thanks to my husband) it listed the antibiotics it was sensitive to and since Cipro was listed my urologist put me on that which I started today. I highly doubt it will help in the long run but I then always have to wonder why it is even listed.

    From what I have read about this superbug it is found in soil and water and, like I have read here before as well, troops from overseas can often bring it back with them but I am not (and have never been) around anyone like that and I am always extremely careful as far as cleanliness. We use Clorox wipes, I wash my crotch with Hibiclens and the only time I have been out has pretty much been to have that bladder biopsy. I go to places like Wal-Mart and to have my haircut but I never touch anything. I have gone to a local park but the only thing I touch is the joystick on my power chair. I can't use my hands or fingers so I am never touching anything and my caregiver is anal about washing her hands before and after doing things and, certainly, before touching me.

    The ONLY other time I was in the hospital was at the end of April I think it was (of this year) and long before I was diagnosed with this multi-drug-resistant Acinetobacter Baumannii. A neurologist wanted to have my blood taken to see how much of a certain medication is in my blood so a mobile lab came to draw my blood. 2 1/2 days later I get a phone call from my home health agency nurse who said she got a message from the on call physician who works with my primary care physician (ironically, not the NEUROLOGIST WHO ORDERED THE BLOOD WORK) that the blood work showed that my potassium level was way too high. They called me after 7 PM at night and I was just about to lay down. Deep in my heart I knew there was no way this could be possible so I was scrambling to look upon the Internet REASONS WHY YOUR POTASSIUM LEVEL CAN BE TOO HIGH. I found out that if the person who drew your blood did it in a way whereby potassium can leak into your bloodstream accidentally resulting in a FALSE REPORT.

    I didn't want to go to the ER (which is what they wanted me to do because this report of my potassium reading being too high can cause a heart attack, etc.) but they said I had better to be careful. They have absolutely no idea how hard it is for me to get there and it would also cost me a big co-pay! But I went and, sure enough, my blood work was perfect. But what I am trying to say is that was the only other time since being in the hospital on February 25 for the bladder biopsy... was for this. Completely different hospital and there was only a physician drawing my blood. However, he was not wearing a glove and WHY I didn't say anything... I don't know.

    I don't think there's any way to tell whether I could have gotten Acinetobacter Baumannii in my urine from having my blood drawn in the hospital and then leaving. That is a hospital I have been to numerous times (2006 to have bladder stones removed, having my blood checked before and a couple other things without a single problem) and that is where the urologist I began seeing in 2006 practices. It is a very very nice hospital.

    Ironically, my symptoms began to dissipate before starting Cipro but I got it filled and started it today since my urologist wants me to. I have to see him on Monday for a cystoscopy to make sure there are no more polyps on my bladder wall and then he wants me to see another urologist who does Ileal Conduits since that is now his suggestion to not only not have to worry about the "superficial" bladder cancer turning into full-blown Cancer and invade my bladder wall as well as not have a bladder for these ongoing bladder infections. But I DID NOT START TO HAVE ALL OF THESE INFECTIONS UNTIL BEING IN THIS HOSPITAL for the bladder biopsy on February 25th. Ironically, this University Hospital (I read quite a while ago but after getting this urologist) has been shown to cause patient injury and infection for numerous years in a row. There was an article I found online (that was originally in our paper newspaper) in December 2012 from a health reporter who wrote about this hospital being known for causing patient injury and transmitting infections.

    I was fine and healthy until January of 2016 when that nurse stretched my urethra and I had to switch urologists and having surgery to stop the leaking.

    My luck just keeps getting better and better and now I have to deal with another urologist and hospital. One good thing is I have a friend in town who has this urologist I am going to answer urologist and she had full-blown bladder cancer so she HAD TO have an Ileal Conduit done. She is happy with it but she had to have it done. I am not looking forward to a urostomy and having to have a bag on my tummy and have to change it 3 or 4 times a week. I am completely dependent upon a caregiver (who is fabulous) because I have lost my parents when I was a teenager (ironically they both died at the age of 54 which I will be next month but from completely different reasons), lost my grandparents, then lost my husband and the little family that I have left (in another state) had an ideal set up to "share they care" along with me hiring part-time caregivers morning and evening 7 days a week but, after 3 years, I became an inconvenience to them so they wanted me to move on even though they knew I had nowhere to go. If my parents or grandparents were alive they would have never done this but they are conveniently gone so I have to use all my money for this caregiver but my only other choice was a nursing home and FORGET THAT!

    Thankfully I found this live-in caregiver but we had no idea that only 2 weeks after moving and getting together with a home health agency... would I end up with a nurse who said she changed over 200 catheters and knew what she was doing it she blew up the balloon in my urethra and one thing led to another from leakage and me being in bed for months until I could find out if I really needed something else done and then it took over 5 months for me to have the bladder neck surgery closure surgery done. This urologist is well-known to be a good surgeon but I have had terrible luck with his staff and the hospital he works through.

    When I first told the live-in caregiver I found about myself I told her that I only needed to see a urologist every several years to have bladder stones removed & I had a good rapport going with a urologist I had had since 2006 and I only need to see my PCP a couple times a year... everything went downhill and things/life turned completely upside down but at least she witnessed it.

    The first PCP I got after moving to another state discharge me for no good reason (the first time a primary care physician discharged me for no good reason in my entire life) and I had to find another. I am on a narcotic and live in Arizona so I had no idea that things had changed dramatically as far as primary care physicians NOW, ONLY 3 years later NOT wanting to take on any patients who are on a narcotic. I found another physician (who I heard was good) but she was worse! She also discharged me for no good reason but now I finally have a good one.

    Things were going pretty good until my superficial bladder cancer diagnosis.

    Sorry for the long story when I was just writing about acquiring Acinetobacter Baumannii.

    I also just lost my best friend on April 27 (a most beautiful Golden Retriever that my husband and I had adopted together in November 2009 that I considered my daughter) from cancer. Ironically, we were both diagnosed with cancer within the same period of time. Like I said... my life just keeps getting better and better.

    My appointment with this new urologist is on July 18 so I won't know anything until then as far as having an Ileal Conduit surgery with him doing the surgery since, right now, it is considered "elective" surgery since, as far as I know, the cancer has not spread or invaded my bladder.
    My current urologist DID tell me that it is a highly risky surgery and I would be in the hospital for a week. I have not been in the hospital (the worst place to be for a quadriplegic) longer than overnight since 1995 but at least then I had my husband with me.

    Hope everyone who reads this is doing much better than I am!

    C-4/5 complete quad, 38 1/2 years post.

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