Presence of klebsiella oxytoca in the smear

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Why is klebsiella oxytoca present in the swab? Is this bacterium dangerous to humans? What is the cause of its appearance on the swab? Is it related to sick sinuses? Is it worth repeating the test? The question is answered by the drug. Anna Mitschke.

What is the reason for the presence of klebsiella oxytoca?

Hello. I am 28 years old and have a research analysis question. I am under the constant care of an ENT specialist because I have recurrent sinus inflammation, underwent several antibiotic treatments, had a head X-ray and it turned out that I had a crooked nasal septum and actually my left nostril is blocked. I constantly perform checkups, including nasal swabs, I have noticed recently that sinus pain worsened, a heavy runny nose reappeared.

The laryngologist ordered me to smear my nose and yesterday I got the results, the description is there presence of klebsiella oxytocaI guess it’s about a type of bacteria. Is klebsiella oxytoca dangerous to the body, and the most important thing is why do I have such a bacterium, where is the cause? Is klebsiella oxytoca in my swab the result of having a sick sinus problem? I am wondering whether I should repeat the tests, and maybe perform more specialized tests, if so, what should they be? I am asking for an indication of what I should do, and above all, I am asking for an answer what exactly is oxytoca klebsiella and what does its presence mean in the smear.

The doctor explains the reasons for the presence of the klebsiella oxytoca bacteria in the swab

Klebsiella oxytoca is a bacterium – Gram negative bacillus that is closely related to another known Klebsiella pneumoniae bacteria. These bacteria colonize the digestive tract, oral cavity and nasopharyngeal cavity. In healthy people, they often do not cause symptoms. With reduced immunity, which may result from many reasons, they can cause disease entities such as: sepsis, septic shock, pneumonia, lung abscesses, urinary tract infections, gastrointestinal tract infections, inflammation of the bile ducts, paranasal sinusitis, acute otitis media, meningitis, infectious osteomyelitis, soft tissue inflammation.

Infection with bacteria occurs through direct contact with germs, but it can also be infected from a person who is a carrier of Klebsiella oxytoca. Infection often occurs in a hospital setting. These bacteria are often resistant to some antibiotics. This means that common antibiotics may not be effective in Klebsiella oxytoca infection therapy. Therefore, an antibiogram is made, which shows the most appropriate drug. It is most likely to be cured after its use, as the bacterium is sensitive to the antibiotic.

People who are particularly at risk of Klebsiella oxytoca infection are patients with any immunodeficiency, e.g. in the course of chronic diseases such as diabetes. Long-term antibiotic therapy predisposes to infection. Additionally, patients who are connected to medical equipment or who have, for example, a catheter in the urinary tract, are at risk. The presence of bacteria is confirmed by inoculation.

I suggest consulting the test results with the ordering physician. The doctor, after collecting a complete history and examining the patient, will decide on further proceedings. It may be necessary to perform an antibiogram, the result of which will allow you to select the appropriate antibiotic.

— Lek. Anna Mitchke

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