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Common antibiotics for BE exacerbation.

MAC & Bronchiectasis | Last Active: Aug 7 8:09pm | Replies (22)

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@irenea8

I had a very serious exacerbation about 4 years ago but nothing could be identified from my sputum. My pulmo felt based on the look of the sputum that Augmentin would be a good option. He was right. But I had to take it for 4 weeks. One and a half years later I was feeling enough exacerbation to be prescribed Augmentin again. Took it for 2 weeks but it did not help that time. That is when I suggested to my pulmo that perhaps I had Pseudomonas (which does not respond to Augmentin). Turns out I was right. I never realized that the sputum test for Pseudomonas was a specific test. And I wish my pulmo had ordered that test sooner.

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Replies to "I had a very serious exacerbation about 4 years ago but nothing could be identified from..."

Hi irene8. What is the specific test for pseudomonas. When my previous respiratory test did not show anything and I had bad flare up I was given levaquin which helped. So I wonder what test it was. The last two weeks I fight parainfluenza4 infection which came with terrible cough and increased sputum( chest X-ray showed no changes) with 16 days of prednisone. My pulmo said it was not bacterial based exacerbation so steroids are the solution. I have last four days x1 10 mg tablet but I still cough. Has anybody taken prednisone and when did you see improvement

I didn't realise that was a specific test for pseudomonas either. Thank you.

My understanding is that screening for Pseudomonas aeruginosa is with the standard sputum culture. Now that you raise this as a potential issue I will double check with pulmonary and report back!

My standard sputum culture tests for:
Legionella
Fungus
Respiratory including gram stain (this is where I thought pseudo would show up)
AFB stain
another one after the stain for NTM (EPIC hard to read, don't like!)