Gram-positive bacteria are a common cause of urinary tract infection (UTI), particularly among individuals who are elderly, pregnant, or who have other risk factors for UTI. ... Some UTIs are polymicrobial in nature, often involving one or more Gram-positive bacteria.

Article [Gram-positive cocci in the urinary tract. Do they influence...

To answer the question, some clinical information is important:

1. What is the microbiological identification of the bacteria? For example, if it is Staphylococcus species, and patient does not have bacteremia with staphylococcus, then the Urine likely was contaminated with Staph for collection contamination as Staph is a common bacteria found on skin.

2. Is the urine from a person with symptoms of urinary tract infection? Is this really clinically relevant?

3. Did the urinalysis also show presence of blood, protein, leukocyte esterase etc which would suggest actual UTI?

Therefore, depending on the other circumstances, the presence of Gram positive cocci in urine may mean anything between mere contamination to serious bacteremia.

Coccobacilli are type of bacteria which has a short rod or ovals shape. The term coccobacilli coined from the combination of cocci and bacilli, since cocci are sphere-shaped bacteria and bacilli are rod-shaped bacteria. Bacteria which falls between the classification of these two shapes are called coccobacilli.

The significance of gram-positive coccobacilli in the urine sample can be associated with Urinary tract infection. According to an article published by National Center for Biotechnology Information, gram-positive bacteria are a common cause of urinary tract infection (UTI), this is particular among individuals who are elderly, pregnant, or those who have other risk factors for UTI. It also stated in the research article from Open access text that 8.2% of gram-positive bacteria in UTI patient. The most frequently isolated Gram-positive uropathogen that are involved in urinary tract infection are: Staphylococcus saprophyticus, Enterococcus faecalis, and Streptococcus agalactiae.

References:

Kline K., Lewis A. Gram-Positive Uropathogens, Polymicrobial Urinary Tract Infection, and Emerging Microbiota of the Urinary Tract. April 2016. Retrieved from Article Gram-Positive Uropathogens, Polymicrobial Urinary Tract Infe...

Urmi U., Jahan N., Nahar S., et al. Gram-positive uropathogens: Empirical treatment and emerging antimicrobial resistance. 2019. Retrieved from https://www.oatext.com/gram-positive-uropathogens-empirical-treatment-and-emerging-antimicrobial-resistance.php#gsc.tab=0

Coccobacilli are those bacteria which are short rods or ovals in shape. There are many species of coccobacilli in which some causes disease in humans. The presence of gram positive coccobacilli in urine sample is a significant uropathogen that is usually associated with the Urinary Tract Infection (UTI). As stated in an article by the National Center for Biotechnology Information last 2016, the gram-positive bacteria are the common cause of urinary tract infection where Staphylococcus saprophyticus, Enterococcus faecalis, and Streptococcus agalactiae are found to be the most frequently isolated gram-positive uropathogens. Moreover, there are several emerging rare, misclassified and underreported gram-positive pathogens that causes UTI as well which includes Aerococcus, Corynebacterium, Actinobaculum and Gardnerella. However, one must take into consideration that some UTIs are polymicrobial in nature and that symptoms associated with UTI caused by these gram-positive uropathogens are also similar to those with gram-negative organisms such as dysuria, urinary frequency and urgency, flank pain, nausea and upper urinary tract involvement.

Reference:

Kline K., and Lewis A. (2016, March 11). Gram-Positive Uropathogens, Polymicrobial Urinary Tract Infection, and Emerging Microbiota of the Urinary Tract. Retrieved from Article Gram-Positive Uropathogens, Polymicrobial Urinary Tract Infe...

Seladi-Schulman, J. (2018, December 4). Your guide to Coccobacilli Infections. Healthline. Retrieved from https://www.healthline.com/health/coccobacilli

Article Urinary tract infection by aerococcus sanguinicola. An emerg...

Have a look at the Márió Gajdács et al paper it should answer your question PMID: 33077890 PMCID: PMC7573585