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Table 2 Summary of Urine culture results

From: Case report on a swift shift in uropathogens from Shigella flexneri to Escherichia coli: a thin line between bacterial persistence and reinfection

 

Urine culture

1st

2nd

3rd

Date

Collection of sample

1st April 2019

8th April 2019

15th April 2019

Release of results

4th April 2019

11th April 2019

17th April 2019

Macroscopy

Colour

Yellow

Orange yellow

Yellow

Aspect

Cloudy

Cloudy

Clear

Microscopy (wet mount)

WBC count (cells/mm3)

54

15

00

RBC count (cells/mm3)

00

00

00

Urine chemistry

Nitrate reduction

Positive

Negative

Negative

Leucocyte esterase

70 leucocytes/μl

15 leucocytes/μl

15 leucocytes/μl

Protein

30 mg/dl

Negative

Negative

Erythrocytes

Negative

Negative

Negative

Microscopy (Gram)

Bacteria

Gram negative rods

Gram negative rods

None

Pus cells

Few

Few

Rare

Epithelial cells

Rare

Few

Few

Culture

Growth/colony count

> 105 CFU/ml

> 105 CFU/ml

No growth

Isolate

Shigella flexneri

Escherichia coli

Antimicrobial sensitivity testing

Ampicillin

Resistant

Resistant

Amoxicillin/clavulanic acid

Resistant

Resistant

Gentamicin

Resistant

Intermediate

Amikacin

Intermediate

Susceptible

Doxycycline

Resistant

Resistant

Nitrofurantoin

Intermediate

Resistant

Chloramphenicol

Susceptible

Resistant

Ofloxacin

Susceptible

Resistant

Ceftriaxone

Resistant

Resistant

Cefixime

Resistant

Resistant

Meropenem

Susceptible

Susceptible

Nalidixic acid

Intermediate

Resistant