DrVirgo
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If a person has pneumococcal pneumonia and a Penicillin allergy, what other antibiotics can be used to treat them?
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| Natasa
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cephalosporines(10-15% cross sensitivity with penicillin) or better erytromicin or some of quinolones(like ciprofloxacin)
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| DrVirgo
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What about Vancomycin?
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| Natasa
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Vancomycin is often termed"antibiotic of last resort",used mainly to kill MRSA(Methicillin resistant Staph.aureus and Clostridium difficile,as it is extremely efficient in killing Gram positives-BUT there is an emergence of Vancomycin abuse in the hospitals-therefore,now you have emerging resistance of bugs to Vancomycin(Enterococcus for exmpl.) and there is a trend to leave this drug ALONE,unless really nothing else works!
Therefore,as Pneumococcus is thought NOT to be resistant to penicillins and penicilin related compounds-NO VANCOMYCIN!
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| DrVirgo
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Right. Thank you.
Whats the drug of choice for Vanco. Resistant Enterococcus?
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| Natasa
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Imipenem/Cilastatin or meropenem
Edited by Natasa on 01/31/06 - 09:01 AM
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