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Enterobacteria

Question
Hello, I have still the finding of Enterobacteria (diverse Serratia liquefaciens, then they disappear, then Serratia marescens is appearing or also Enterobacter cloacae) in spite of the fact that I inhale without pause diverse antibiotics (Tobi podhaler, Tobi humid inhalation, Colistin, Colobrathe). My physician refuses oral antibiotics as I am not ill, except a little cough. About 8 years ago, I was in another CF center, and they recommended i.v. antibiotic therapies due to the same finding of germs. The actual CF center does not recommend this – I would do too good for this. However Enterobacteria should not reside in the lung; should they? Are they not pathogenous? They have never been found in the throat swab and in the nasal swab. I do not have Pseudomonas or other bacteria!
My question: can I meet other CF patients with these bacteria (according to my center they are not resistant)? My FEV1 value is about 70%.
Best regards,
K.F. (female) [name shortended by ECORN-CF]
Answer
Hello,
From my point of view there is no danger in contacting other CF patients, however the „known“ caution measures like not coughing in front of the other, hand disinfection, and a certain distance to the other should pertain. Depending on the germ findings, other CF patients could rather be a danger for you.
If the Enterobacteria should be treated or not, is difficult to decide from afar. In general I do not treat those germs, however each case is individual.
Best regards,
Fischer
12.10.2016