Broaderspectrum agents

a. If the initial response to antibiotics is unsatisfactory, beta-lactamase-producing bacteria are likely to be present, and broad-spectrum therapy is required.

b. Amoxicillin/clavulanate (Augmentin): adults, 250 mg tid or 875 mg bid; children, 40 mg/kg/d in 3 divided doses.

c. Cefuroxime axetil (Ceftin): adults, 250 mg bid; children, 125 mg bid.

d. Cefixime (Suprax): adults, 200 mg bid; children, 8 mg/kg/d bid.

e. Cefpodoxime (Vantin) 200 mg bid f. Loracarbef (Lorabid): 400 mg bid.

g. Azithromycin (Zithromax): 500 mg as a single dose on day 1, then 250 mg qd.

h. Clarithromycin (Biaxin): 500 mg bid.

4. Penicillin-resistant S. Pneumoniae result from bacterial alterations in penicillin-binding proteins. Highly resistant strains are resistant to penicillin, trimethoprim/sulfamethoxazole (TMP/SMX), and third-generation cephalosporins.The prevalence of multiple-drug resistant S. pneumoniae is 20-35%. High dose amoxicillin (80 mg/kg/d), or amoxicillin plus amoxicillin/clavulanate, or clindamycin are options.

B. Chronic sinusitis is commonly caused by anaerobic organisms. 3-4 weeks of therapy or longer is required.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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