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Re: GEN: Antibiotic Selection From: Steve & Eryl Raymond (eryl@intekom.co.za) Mon Jun 30 13:51:09 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "Re: Bitter medicine" Previous message: Steve & Eryl Raymond: "Re: GEN: Antibiotic Selection" Maybe in reply to: Garry E. Siegel, M.D.: "GEN: Antibiotic Selection" Next in thread: Gail Waldby: "Re: GEN: Antibiotic Selection" Gentamicin & Clindamycin together could have been predicted to fail. Far too narrow. We use Ampicillin, Gentamicin and Metronidazole for pelvic infections in all the situations you mention. Steve Garry E. Siegel, M.D. wrote: >I am interested in hearing which antibiotics people use, and why, for IV >treatment postop infections, such as: > >endometritis after section >postop cuff cellulitis/fever after hysterectomies >etc. > >In residency (completed in 1986), the standard was >Clindamycin/Gentamycin, perhaps with Ampicillin/PCN. We also began to >use a single agent, such as Cefoxitin, subsequently replaced by newer >Cephalosporins such as Cefotetan. > >When the super penicillins came out (Timentin, Zosyn), these also became >popular as single agents. > >Recently, I had a patient post TVH who went home on day 2, became >febrile over the weekend, and, long story short, was readmitted on >postop 5. Because of an allergy to PCN and Keflex, I used Gent and >Clind, and she didn't really get better until she was changed to Invanz >(ertapenem)per an infectious disease specialist, and responded. > >So, what do you guys use, and why? BTW, I'm not talking about >prophylaxis, but treatment. > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- S.H. Raymond FRCOG Principal Specialist Department of Obstetrics & Gynaecology Empangeni Hospital Private Bag X20005 Empangeni SOUTH AFRICA 3880 Phone: (+27)-35-9028560 Fax: (+27)-35-7922596 Next message: Charlie Chambers: "Re: Bitter medicine" Previous message: Steve & Eryl Raymond: "Re: GEN: Antibiotic Selection" Maybe in reply to: Garry E. Siegel, M.D.: "GEN: Antibiotic Selection" Next in thread: Gail Waldby: "Re: GEN: Antibiotic Selection"

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