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Re: GEN: Antibiotic Selection From: Efrain Ramirez (eramirezt@coqui.net) Mon Jun 30 22:29:12 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Bitter medicine" Previous message: Efrain Ramirez: "Re: plea changes to list" In reply to: Garry E. Siegel, M.D.: "GEN: Antibiotic Selection" I like since sometime ago Ampi/Gara/Flagyl -- it works wonders - Flagyl with very good tissue penetration - At Sun, 29 Jun 2003, 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 > -- "The opposite of a correct statement is a false statement. But the opposite of a profound truth may well be another profound truth." Niels Bohr (1885 - 1962) Next message: Efrain Ramirez: "Re: Bitter medicine" Previous message: Efrain Ramirez: "Re: plea changes to list" In reply to: Garry E. Siegel, M.D.: "GEN: Antibiotic Selection"

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