Fortunately, I have a bit of clinical experience with this bug and can share some vital information. I have done at least 5000 comprehensive stool analyses over my career and seen Pseudomonas in the results on many occasions.
Pseudomonas aeruginosa is a common strain of bacteria found in wet and marshy environments. This bug can thrive in all sorts of settings, including contact lens solution, medical equipment, hot tubs, and pools. They have even found Pseudomonas aeruginosa in gasoline and fuel.
Pseudomonas aeruginosa forms quite an impenetrable, slimy, moldy layer. If you’re walking in the bush or somewhere with lots of water and you see a film sitting on the surface, it could well be Pseudomonas.
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Pseudomonas is found in tiny amounts in the human GI tract. It’s not generally found at a high level in stool tests. If there is a 3+ or 4+ count, it’s usually because the person is immunocompromised or chronically ill in some other way.
As an opportunistic bacterium, Pseudomonas aeruginosa is always looking for a chance to colonize. Immunosuppression gives it that opportunity. Risk factors for acquiring a Pseudomonas infection include cystic fibrosis, having an indwelling catheter, severe burns, and chronic obstructive pulmonary disease.