I've posted a few times but the quick background is I have a 15 month old son dx CRMS (one disease cause and one variable mutation). He just switched from one clinic that was being reactive to a more proactive clinic last month. The question I have right now is about throat cultures. He has never had a completely clear swab but so far we have been told that nothing he has cultured needed to be treated. I have trusted that and I do still trust that, but I guess I am wondering when a positive culture would warrant treatment or when a positive culture may be something to be more concerned over. He has never cultured pseudo so that's good news and I have understood that to be something more concerning, but at both his last culture at his previous clinic in July and his first culture at his new clinic last month, he cultured "moderate" amounts of Acinetobacter Baumannii. To be clear, I am not doubting the doctor's decision to not treat this. I am just not sure I understand what exactly would trigger treatment in conjunction with a positive culture.
So far the list of things he has cultured include A. Baumanni, Chryseobacterium Indologenes, Staph & sphingobacterium multivorum but A. Baumannii is the only one he's ever had show up twice in a row so it's tweaking my interest a little more. I was told by our first pulmonologist that babies are infamous for having all kinds of things show up in their cultures since they are always putting weird things in their mouths but having it be present for 2 cultures in a row makes me wonder if it it something I should be more aware of.
We are going back to our new clinic this Friday to follow up with the doctor and I do want to have this discussion with her too but I thought it might be a better discussion if I prepared myself with some guidance here first instead of trying to bumble along as the doctor explains things using medical jargon at a level I might not be able to immediately comprehend.
Any elementary level (or as close to) explanations would be very welcome!
So far the list of things he has cultured include A. Baumanni, Chryseobacterium Indologenes, Staph & sphingobacterium multivorum but A. Baumannii is the only one he's ever had show up twice in a row so it's tweaking my interest a little more. I was told by our first pulmonologist that babies are infamous for having all kinds of things show up in their cultures since they are always putting weird things in their mouths but having it be present for 2 cultures in a row makes me wonder if it it something I should be more aware of.
We are going back to our new clinic this Friday to follow up with the doctor and I do want to have this discussion with her too but I thought it might be a better discussion if I prepared myself with some guidance here first instead of trying to bumble along as the doctor explains things using medical jargon at a level I might not be able to immediately comprehend.
Any elementary level (or as close to) explanations would be very welcome!