[remy__piko]

my son is 2 yrs old,he had a throat swab culture and the result was pseudomonas aeruginosa Ampc heavy growth , the polymorph is 3-5,epithelial cells 1-3,gram positive bacteria is cocci,gram negative bacteria is rods.It was sensitive to pipracillin,amikacine,ofloxacin,imipenem,ciprofloxacin,ceftazidim,cefepime,tobramycin,meropenem,his doctor recommended amikacine he took 14 injections in 7 days we waited for 4 days & then we repeated the culture & the result was the same with heavy growth also .what i cant understand is that the pseudomonas in the second culture is still sensitive to the same antibiotic amikacine. his doctor recommended another antibiotic it is cefepime 10 injections in 5 days i dont know what to do, wont it be too much, shall i repeat the culture.The other thing is that my son started coughing with tightness in his chest his dr. asked for a chest xray and it appeared an inflammation could that be because of the pseudomonas,i want to know will he has allergy because of it,this whole case started 2 months ago plz waiting for ur reply i need help i need to know the symptoms of pseudomonas and what else will this bacteria do?and for how long it stays in the body did it take too long or the antibiotic is enough to kill it

[Davy9]

Ask you doctor if he think aerosolizing any of these antibiotics for topical administration would be useful in addition to the injections. Are these intramuscular injections or has a long IV been placed for intravenous dosing? Are they checking the blood for therapeutic blood levels of the antibiotic? I would also be curious about the status of the child's immune system.

Sorry to hear about your problems.

[remy__piko]

thank u for replying i appreciate it so much.now the status is that i started giving my son cefepime with the maximum dose according to his age & weight,he will take it for 5 days & then i will wait for another 5 days then repeat the throat swab culture.what i am realy worried about is his chest his doctor has no answers for my questions about the traces the pseudomonas can leave in my childs chest and does the pseudomonas need time to cause allergy or it can cause allergy from day one it enters the body?so please answer me, my child had this bacteria from hospital through the ventilator actualy he uses the ventilator once but he had it,i told u before that i made chest xray for him & the result was that he has a prominent veelar vuscular markings can this be because of pseudomonas,can the pseudomonas be in his throat only & can his lungs be clear or because it comes from the ventilator that means it is in both throat & chest what r the symptoms that for that?please answer all my questions please i am confused cause i cant find answers for my questions.thanks alot.

[Davy9]

For starters an allergy is a response the body has to things it has become allergic to. Your son will not become allergic to Pseudomonas and it should not render him more susceptible to developing allergies.

Pseudomonas is a gram negative bacterial infection and apparently he contracted it while on a ventilator. It will have essentially the same symptoms and dangers as any bacterial infection of the throat and lungs. It does need the proper and aggressive treatment. I would think it better if they placed what is called a PIC line and administered his antibiotics via that line intravenously. That will allow better control over getting good blood levels of the drug and they can monitor those a lot easier that way.

What caused him to require a ventilator episode in the first place?

[remy__piko]

the whole thing started 2 months ago when my son suffered from very runny nose & heavy cough & a fever 38.5 celsius. on contacting his doctor he recommended going to the nearest hospital for medical check up when the doctor there checked his throat & chest he said that my son is suffering from chest tightness & sever throat inflammation so he recommended this ventilaor issue.unfortunately the ventilaor was contaminated.