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Antibiotics

Our Panel of Medical Experts answers questions concerning disaster, pandemic and wilderness medicine

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Antibiotics

Postby littledoc » Sat May 14, 2011 9:17 pm

This is going to sound like a plug, but it more that I am being lazy and I don't want to post stuff twice.

Anyway, I have begun a series of posts on my Wilderness and Disaster Medicine blog that details information concerning the various types of antibiotics that are out there.

Basically I want everyone to know that not every antibiotic is good for every condition so I compiled a busload of information on antibiotics and the infections that they are good for.

I was going to post all that stuff here, but it is a lot of information and I think it would kill enough servers to get me Billy-clubbed by the FBI. :shock: ;)

Anyway, I do want to post here the boring statement that antibiotics don't kill viruses: There is a generation of people that believe that an antibiotic should be given to every runny nose and sore throat. If you do that, you will be wasting your antibiotic stores.

Instead, I have lists of how to use your antibiotics so that they will be the most effective.

Enjoy!
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Re: Antibiotics

Postby peachsncream » Sat May 14, 2011 9:35 pm

Many thanks, littledoc! I have your blog up and reading - lots of great information!

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Re: Antibiotics

Postby littledoc » Sat May 14, 2011 9:39 pm

peachsncream wrote:Many thanks, littledoc! I have your blog up and reading - lots of great information!

Terrie


Another antibiotic post will be up in 20 minutes.
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Re: Antibiotics

Postby Vina8 » Sat May 14, 2011 10:27 pm

Thanks for the info, littledoc!
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Re: Antibiotics

Postby HighDesertHawk » Sat May 14, 2011 11:09 pm

great info thanks and i have bookmarked your blog
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Re: Antibiotics

Postby littledoc » Sat May 14, 2011 11:29 pm

You guys are totally welcome.

I've added some stuff to the Penicillin post and the Carbapenem post is up as well. Next will be the cephalosporin class then probably Fluroquinolone or Macrolides. I will go through each class of drugs. If you have any questions, just ask here or on the blog. I will be more than happy to answer them.

Oh, I almost forgot: Before the antibiotics posts, I made a couple posts on hemostatic agents as well.
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Re: Antibiotics

Postby littledoc » Thu May 19, 2011 8:31 pm

Alright, the next post on antibiotics will be out tonight, covering first generation cephalosporins.
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Re: Antibiotics

Postby littledoc » Fri May 20, 2011 10:15 pm

Sorry about that. The post had to go up today.

Delivering a couple babies and a few last minute surgeries kept me a little busy this week.

Maybe, I'll be able to put out the Second generation Cephalosporin information on Sunday, but I'm not making any promises: I'm on call this weekend.
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Re: Antibiotics

Postby littledoc » Sun May 22, 2011 11:01 pm

Two emergency surgeries and running on-call and I still was able to put the second generation antibiotics post out? Woohoo!

Man, I'm tired.
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Re: Antibiotics

Postby Snakatack » Fri May 27, 2011 11:54 am

Littledoc

I have a prep. friendly physician who in exchange for help and advice in her preparation efforts has written me fat prescriptions for the following Abx. to add to my storage. I work in healthcare, am familiar with these medications and have a good drug book on hand.

Augmentin, Levaquin, Septra DS, Amoxicillin, Zithromax and Cipro.

The question I have is do you see any "holes" in this selection?
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Re: Antibiotics

Postby littledoc » Sat May 28, 2011 11:48 am

Snakatack wrote:Littledoc

I have a prep. friendly physician who in exchange for help and advice in her preparation efforts has written me fat prescriptions for the following Abx. to add to my storage. I work in healthcare, am familiar with these medications and have a good drug book on hand.

Augmentin, Levaquin, Septra DS, Amoxicillin, Zithromax and Cipro.

The question I have is do you see any "holes" in this selection?


That's a good arrangement! Give that physician a bunch of love! ;)

I would add Doxycycline to cover things like Lyme disease, rocky mountain spotted fever, chlamydia, etc.

I would also probably add cephalexin (keflex) for penicillin (amoxicillin/ augmentin) resistant bugs.
Also ampicillin for meningitis... It crosses the blood brain barrier and covers listeria.

And even though you have zithromycin, I still say add erythromycin. It lasts longer so when you run out of the Zpack then you can use it.

Just one more: add cefixime for niesseria and pseudomonas coverage. It's the oral cousin of Rocephin.

Okay, I lied: one more. Add Metronidazole. This drug covers most anaerobes, parasites (like giardia), bacterial vaginosis, and trichomonas.
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Re: Antibiotics

Postby CajunDaddys_girl » Sat May 28, 2011 1:10 pm

Looks and sounds similar to an April 17 post regrding antibiotics uses, indications, and side effects. Also the link covers the possible toxicity of antibiotics when used after expiry dates..

viewtopic.php?f=95&t=5467&p=95789&hilit=+antibiotics#p95789
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Re: Antibiotics

Postby littledoc » Sun May 29, 2011 12:34 pm

CajunDaddys_girl wrote:Looks and sounds similar to an April 17 post regrding antibiotics uses, indications, and side effects. Also the link covers the possible toxicity of antibiotics when used after expiry dates..

viewtopic.php?f=95&t=5467&p=95789&hilit=+antibiotics#p95789


LOL. ;) Antibiotic coverage pretty much stays the same regardless. Not much changes in antibiotics, except perhaps that there are a few new groups of Cephalosporins coming out in the near future, but those will most likely be IV/IM only. (antibiotics aren't as much of a cash cow for pharmaceutical companies like other agents are.)

It's a pitiful shame that most of you won't have access to the IV antibiotics.

Each class of antibiotics was created to cover a certain group or certain groups of bugs, with the IV/IM only drugs being the big guns. What sucks is that all the aminoglycosides are IV and those have amazing gram negative bacteria coverage.
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Re: Antibiotics

Postby littledoc » Mon Jun 06, 2011 8:56 pm

I understand that someone became offended by my statment: "It's a pitiful shame that most of you won't have access to the IV antibiotics."

I just wanted to clarify, because I meant no offense. I was thinking how much supplies I should probably gather together for my ANTS group, worried whether or not that I would be able to acquire enough to help others.

I don't know how to make a survival shelter or how to use animal hides for blankets, or any of the other essential survival skills. So I value people that do know those things.

As for me, I do medicine. I worry whether or not others will have enough first aid or have access to medical care.

That was the sole purpose for the creation of my blog and now the purpose behind creating trauma kits for others. It is a pitiful shame that most people are barred from access to essential drugs and medical supplies.

When it comes to those in the ANTS group, they will have access to my medical supplies in the times of disaster. I will make sure of it.

Oh yeah, total side note. The next post on antibiotics with a little information on animal-grade pharmaceuticals will be posted tonight.
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Re: Antibiotics

Postby ReadyMom » Tue Jul 26, 2011 12:26 pm

The following is from blogger-friend, Fla_Medic. It's a blog entry from his 'Avaian Flu Diary' blog:

IDSA: Educational Guidelines Lower Antibiotic Use # 5715
http://afludiary.blogspot.com/2011/07/i ... lower.html

Image From the [ur=http://www.idsociety.org/l]IDSA[/url] (Infectious Diseases Society of America) today, a major report on the reduction in outpatient antibiotic use in Quebec since an educational campaign, directed primarily at pharmacists and physicians, was begun in 2005.

On a per capita basis, outpatient use of antibiotics has declined by 4.2% in Quebec, while increasing by 6.5% across the rest of Canada.


The latest version of these guidelines are available at the Le conseil du médicament website. Image --- CONTINUED at link, above, including charts for amounts to dispense ---
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