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Pseudomonas stutzeri in the lung
Dear ladies and gentlemen, I have been diagnosed lately with a colonization of the lung with Pseudomonas stutzeri. The investigation had been done due to cough with yellowish/putride sputum, in the meantime lasting for 8 months. The physician is of the opinion however, that my symptoms have nothing to do with the colonization of this germ. What kind of damage can this germ do in my lungs and which treatment would be appropriate? Best regards,
07.02.2011
Hygiene, the second [referring to "Hygiene" 10.01.2011]
Many thanks for your detailed answer. But to be honest. I do not understand how it can come to such differing statements concerning the occurence of MRSA: You say: the frequency of MRSA in the standard population is however much smaller as in hospitals and lies clearly under 1%. And the Paul Ehrlich Institute (Germany) talks about the by me mentioned numbers over 20%: http://www.p-e-g.org/aktuelles/141. Or does it mean if both numbers are true that in hospitals and old peopel's homes etc the frequency is so high that the mean of the population is 22%, even if the "standard population" (who however that is, then) is colonized only in 1% of cases? Probably the right question would be: how many MRSA-carrier do I meet in the bus or the fitness center? Again many thanks, also for your patience.
07.02.2011
cystic fibrosis and physiotherapy in babies
How can we do physio in babies? Ours is 12 months old and complains all the time
07.02.2011
Transmission of Pseudomonas
I am a parent of a child resident in an institution for children with cystic fibrosis and multiple disabilities with a section where there are children colonized with pseudomonas aeruginosa. What precautions should be taken when he attends common rooms ?
07.02.2011
Aerosols and contamination
Hello, My 7 years-old CF son is treated with nebulised RhDNase. He is using a disposable jet nebuliser (PortaNeb). Recently, 3 different bacteria have been found in high quantity in his sputum: Stenotrophomonas maltophilia, Rhizobium radiobacter, and Chryseobacterium indologenes. Fortunately, they have been eradicated, despite their resistance, with an oral treatment with ciprofloxacin and cotrimoxazole. On one hand, our CF Centre, thinking that these bacteria came from the nebuliser, has stopped the RhDNase treatment. From this date our son shows difficulties to expectorate and coughs more. On the other hand, people renting the nebuliser think that a microbial contamination from the nebuliser is impossible because their devices are systematically disinfected between rentals, because the device of my son was new, and because it was disposable. Moreover, I disinfected weekly the compressor with wipes impregnated with detergent product. At last, the hospital microbiologist (another one that the one of the CF centre), who is regularly in charge of the microbial evaluation of my son sputum, thinks that the 3 germs are environmental bacteria, found, like Pseudomonas aeruginosa, into the ground. These bacteria would be found in the more severe patients or in patients colonised with Staphylococcus aureus (my son is colonised since 18 months). She also said to me that Stenotrophomonas maltophilia and Rhizobium radiobacter were emerging bacteria in CF. She thinks that microbial contamination is not linked to the nebuliser, but maybe because of my son's practice to scratch the ground with his fingers (we are living in the country), and to bite one’s nails, even if his hands are regularly washed. I would know who to believe, knowing that the practitioner of the CF centre is not favourable to aerosols.
02.02.2011
Search for a similar genotype
Hello my son was diagnosed CF at birth. His mutations are 508 del F and P5L. 3 sweat tests showed very diferent results (from positive to negative). He’s regularly followed in a CF Center, is today 3 years of age and luckily does not present any symptom of the disease. Is there an identical genotype in your archives? May symptoms of the disease occur late?
02.02.2011
contact with CF child
My youngest daughter has CF (1 year old). My oldest son does not have CF (3 years old). Is it in any way dangerous (meaning : he can transmit disease) if my non-CF son plays with another CF child (with cough and seemingly ill). Could it be that he transmits the bacteria and in this way could infect my CF daughter? Can you express the risk in a percentage if this is an extra danger?
02.02.2011
boiler feed water
Is there a risk for CF patients to use a boiler feed water container (for dishwashing, washing hands)? I understand that this is a non-moving water recipient.
02.02.2011
Disinfection
Hello. My 14 years old son is currently treated in a research protocol with inhaled bromure tiotropium, 2 puffs each morning. It’s just like inhaled salbutamol. When I have asked about disinfection of the mouth piece of the pressurized metered-dose inhaler (pMDI), the CF Centre staff said that, like salbutamol pMDI, no disinfection of the mouth piece was required. I am surprised. Even if the bacteria are those of my son, they probably stay on the mouth piece with a possible risk of re-contamination (since September, he is treated each month with antibiotics for a Staphylococcus aureus. If this Staphylococcus is always present on the mouth piece, he will never get rid of it). For instance, if a disinfection of the flutter, only used by my son, is recommended, it’s surely to protect him against his bacteria. Thanks to give me the best way to do.
02.02.2011
Changing germ situation
Dear ladies and gentlemen, I have for a few month again and again the Haemophilus parainfluenza in the sputum result, additionally further germs, which change however permantently and do not reoccur regularly even without a treatment, such as Burkholderia gladioli, agglomerans panloca, stenotrophomonas. From the classical medical point of view there has until now not been a comment on the germ situation, as it can not be explained why the found bacteria change regularly. My question: Does it make sense to fight the Haemophilus in order to avoid further colonization of bacteria or is it "normal" that one simply waits how the situation develops? How does a possible treatment look like? Many thanks!
02.02.2011
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