? 03-24 Panzer PMPS 207/200@+4 URINE CULTURE/234@+6/244@+8

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Chrispooky12

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Panzer's #s have been way high for his usual cycles. Yesterday AMPS my dumb butt did a fur shot. He has had 2 successfull shots today. Is he maybe bouncing from the fur shot? Or could the amoxicillin be affecting his #s? I started him on amoxicillin on Wednesday night & he will be on it for 3wks. We go back to the vet on May 10th to do a repeat full panel bloodwork. His Urine Culture reads this: FirsTract Urine Culture/ source urine/ collection method Cystocentesis/ FirsTract Culture with ID & susceptibility in progress///ANTECH FIRSTract rapid Culture analysis detected suspicious patterns in this sample. This could represent non-biological particles,fastidious pathogens, residual antimicrobial activity or non-urinary tract contaminates. Extended incubation is required. Preliminary report should be available within 36hrs. Antech FIRSTract is a state of the art, patented light scattering technology capable of detecting bacterial growth within hours,not days. FIRSTract demonstrates excellent performance with high sensitivity & specificity in comparison to a standard Urine Culture.
ENTEROCOCCUS SENSITIVITIES: AMPICILLIN S
AMOXICILLIN S
AZITHROMYCIN N
CHLORAMPHENICOL I
CLARITHROMYCIN R
DOXYCYCLINE S
ENROFLOXACIN R
ERYTHROMYCIN N
Gentamicin (High Conc) S
Streptomycin (High Conc) S
Aminoglycosides,when used alone,are ineffective against enterococci. Combining an aminoglycoside with ampicillin or amoxicillin can be effective if this combination is synergistic. Resistance to high concentrations of gentamicin or streptomycin indicates that these combinations are NOT synergistic & should not be used. Erythromycin & azithromycin are not recommended for treatment of lower urinary tract entrococcal infections, regardless of the sensitivity result. Clarithromycin is suitable for lower urinary tract infections. Cephalosporins (all classes) & potentiated sulfonamides are not tested because they are always ineffective against Enterococci. Clavamox offers no treatment advantages over amoxicillin or ampicillin for enterococcal infections.
If anyone can explain this to me please do? @Suzanne & Darcy @Diane Tyler's Mom @FrostD @Bron and Sheba (GA) https://www.felinediabetes.com/FDMB...n-please-94-3-84-4-105-8.260856/#post-2927234
 
I'm sorry his numbers are high, Suzanne I think will know how to help interpret those results. It sounds like he's already on the right antibiotic though.

Is there any chance the antibiotic contains sugar? Does it say anything on the label?
 
No unfortunately, all it says is Amoxicillin 100mg/ tablet give one tablet by mouth every 12hrs until gone. I don't like his #s being this high, maybe it's because he's had this stupid UTI for so long?`He's running around & playing right now & thought he was going to get a treat(pill pocket) when he seen me get the pill bottle out. He's laying here purring now.
 
Panzer's #s have been way high for his usual cycles. Yesterday AMPS my dumb butt did a fur shot. He has had 2 successfull shots today. Is he maybe bouncing from the fur shot? Or could the amoxicillin be affecting his #s? I started him on amoxicillin on Wednesday night & he will be on it for 3wks. We go back to the vet on May 10th to do a repeat full panel bloodwork. His Urine Culture reads this: FirsTract Urine Culture/ source urine/ collection method Cystocentesis/ FirsTract Culture with ID & susceptibility in progress///ANTECH FIRSTract rapid Culture analysis detected suspicious patterns in this sample. This could represent non-biological particles,fastidious pathogens, residual antimicrobial activity or non-urinary tract contaminates. Extended incubation is required. Preliminary report should be available within 36hrs. Antech FIRSTract is a state of the art, patented light scattering technology capable of detecting bacterial growth within hours,not days. FIRSTract demonstrates excellent performance with high sensitivity & specificity in comparison to a standard Urine Culture.
ENTEROCOCCUS SENSITIVITIES: AMPICILLIN S
AMOXICILLIN S
AZITHROMYCIN N
CHLORAMPHENICOL I
CLARITHROMYCIN R
DOXYCYCLINE S
ENROFLOXACIN R
ERYTHROMYCIN N
Gentamicin (High Conc) S
Streptomycin (High Conc) S
Aminoglycosides,when used alone,are ineffective against enterococci. Combining an aminoglycoside with ampicillin or amoxicillin can be effective if this combination is synergistic. Resistance to high concentrations of gentamicin or streptomycin indicates that these combinations are NOT synergistic & should not be used. Erythromycin & azithromycin are not recommended for treatment of lower urinary tract entrococcal infections, regardless of the sensitivity result. Clarithromycin is suitable for lower urinary tract infections. Cephalosporins (all classes) & potentiated sulfonamides are not tested because they are always ineffective against Enterococci. Clavamox offers no treatment advantages over amoxicillin or ampicillin for enterococcal infections.
If anyone can explain this to me please do? @Suzanne & Darcy @Diane Tyler's Mom @FrostD @Bron and Sheba (GA) https://www.felinediabetes.com/FDMB...n-please-94-3-84-4-105-8.260856/#post-2927234
Good point about the liquid amoxicillin. It may contain sugar.

yes the amoxicillin is clearly recommended. It’s terrible that he still has blood in his urine.
 
So are you good on this now Christina? The lab just cultured out the bacteria and then they tested it against a bunch of different antibiotics to see which are effective and which are not. They then listed the ones more likely to be effective and those not recommended.
 
If you were still wondering, I think they saw something in there that they were speculating was contamination of the sample that’s not related to the UTI. Poor Panzer with all that irritation and blood in there. With protein +2 you will want to get the UPC ratio done perhaps after he clears the UTI. But right now it’s all about the UTI. So sorry this is just an ongoing nightmare.
 
Good point about the liquid amoxicillin. It may contain sugar.

yes the amoxicillin is clearly recommended. It’s terrible that he still has blood in his urine.
Very scary too I'm going to try & get a clean catch from him & see if it's seeable & check him for ketones while I'm at it!
 
So are you good on this now Christina? The lab just cultured out the bacteria and then they tested it against a bunch of different antibiotics to see which are effective and which are not. They then listed the ones more likely to be effective and those not recommended.
So does the R mean he's resistant to that drug or that it's resistant to the type of bacteria? Thank you for helping me figure this out. I don't understand why others didn't reach out to help! So thank you very much for helping me to understand what's going on with my baby!
 
If you were still wondering, I think they saw something in there that they were speculating was contamination of the sample that’s not related to the UTI. Poor Panzer with all that irritation and blood in there. With protein +2 you will want to get the UPC ratio done perhaps after he clears the UTI. But right now it’s all about the UTI. So sorry this is just an ongoing nightmare.
Ok thank you I will be sure to ask his vet & set up an appointment for him.
Second thought why should you when no one ever comments on your posts anyways :cat:
@Chrispooky12
Exactly what's the point...I'm hardly ever asking about his insulin type & don't know who knows about it & who doesn't I've only been on here for almost 6mons:banghead:
 
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