Pseudomonas aeruginosa

[KatyMac]

DH did a random sputum sample and it came back with this and he is going on antibiotics

He has bronchiectasis

I am worried its been around for a while as he hasn't done tests for years

How easy is it likely to be to get rid of it and what should I watch out for in future?

Google is not my friend for this

Bump

Psuedenomas can be targeted by antibiotics, it’s good when they know as they can prescribe the correct one. Try not to google it always goes to worst case scenarios. x

Re Google - I know!

He's been on daily doxycycline between 2010 & last summer & the (bleep) GP thought he would be better off stopping
Papworth did not agree but between them they compromised (in April) on him being on it Sept to Mar

& now he has this

If it's a first time, I wouldn't worry too much. It should be pretty sensitive to antibiotics. If he starts growing it repeatedly, he'll probably start nebulised antibiotics for it to keep it at bay. I've been doing that for eight years and not had a recurrence since.

So my almost 3 year old grew this a few months ago (he also has bronchiectasis caused by a lung condition) It's a bitch to treat and he was on ivs for 1 month, as well as 2 months worth of nebulised antibiotics. We also upped his airway clearance physiotherapy to 4 times a day. With 1x dose of dornase nebuliser and 1x hypertonic saline nebuliser. Thankfully a bronchoscopy 3 months post the first growth, it came back clear. It definitely can be treated but it's notoriously stubborn and he'll probably feel pretty lousy with the amount of antibiotics he'll be given.

He already can't fight haemophilus influenza, the last thing he needs is another weakness

He's getting 14 days of 750 ciprofloxacin, he hasnt had that before, normally its co-amoxyclav tablets or IV

God we have been infection free for fucking 14 years! he has had 4 infections in 14 years on doxycycline

We got rid of psuedonomas with cipro on a regular basis. Hope he can get back on a good prophylaxis x

I'm scared, I've moved for years of 'vague concern' to scared

I wish he'd stayed in the doxy (I may have said that before)

Sorry you guys are having problems too

Hi all,

OP i wondered how things were

I have bronchiectasis, emphesma, alpha 1 and was told I have colonised pseudomonas - i hadnt had a sputum test for about a year and this was done as i felt something was amiss (freezing cold lung feeling heavy chest)

I have have been told theres no treatment to give for this as theres no evidence this will make it go away - and they are concerned abotu giving anti-b unles they know it will do something as they dont want it to turn resistent for if a time comes i really need the medicaiton

This basically means im colonised but dont have an infection. - Apparently

I do not feel very confident abotu thsi though

He had the antibiotics and a clear sputum sample (according to papworth) so I;m hoping its ok

I don't know

Strange isnt it

Did your OH have an active infection or a colony?

Honestly i feel that no one knows about all this

There's a limited range of antibiotics that are effective against P aeruginosa. Doxycycline isn't one of them. So being taken off that isn't going to be the cause of this infection.

https://www.asthmaandlung.org.uk/conditions/pseudomonas-infection

Ciprofloxacin is a fairly common treatment for this, but resistance patterns vary quite a lot among geographical areas so the specialists at your hospital will have decided that's the most appropriate in your husband's case.

@HEMole do you think we should follow up with the hospital? I haven't heard from them for months