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Does Intake Of Gentamycin, Cephalothin And Flucloxacillin Help In Treating Abdominal Peritonitis?

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Posted on Mon, 18 Apr 2016
Question: Dear Doctor, can you advise out of the three IV antibiotics which would be the antibiotic of choice for a serious infection of abdominal peritonitis.
flucoxscilian
keflin (cephlothin)
Gentamycin 160mg

adult patient, CRP 315, esr 45, neutrophils 24, wcc 26, albumin down to 17
doctor
Answered by Dr. Ivo Ditah (43 minutes later)
Brief Answer:
All these antibiotics are needed!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this diagnosis of bacterial peritonitis. This combination of antibiotics is needed to cover for all possible germs present in this infection. The only time we can go with fewer is when we have a culture result which shows exactly what antibiotic type can act best on these germs. Until then, I will say still faithfully to these antibiotics and do not try to even reduce the any of the combination at this time. I have equally reviewed these laboratory results which supports an infectious process.

I hope this helps. I wish you well. Feel free to ask for more information and clarifications if need be. Above all, thanks for using our services.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (6 hours later)
Thank you Doctor, with respect to.Gentamycin, when this antibiotic is administered by IV 160mg is it a single dose. over 2 days ..or do they keep replacing the plastic or glass container where a line flow from that container to the conulalar under the skin..so does the Gentamycin bottle change every 6 hours or does it last 48 hours in one bottle.
doctor
Answered by Dr. Ivo Ditah (14 hours later)
Brief Answer:
Gentamycine is administered once or twice daily!

Detailed Answer:
Hi,

Depending on the preference of the doctor, Gentamycine can be administered once or twice daily. Also, there is no need to change the plastic all the times. Only the drug has to be served from the pharmacy every time it is required.

I hope this helps. I wish you well.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3984 Questions

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Does Intake Of Gentamycin, Cephalothin And Flucloxacillin Help In Treating Abdominal Peritonitis?

Brief Answer: All these antibiotics are needed! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this diagnosis of bacterial peritonitis. This combination of antibiotics is needed to cover for all possible germs present in this infection. The only time we can go with fewer is when we have a culture result which shows exactly what antibiotic type can act best on these germs. Until then, I will say still faithfully to these antibiotics and do not try to even reduce the any of the combination at this time. I have equally reviewed these laboratory results which supports an infectious process. I hope this helps. I wish you well. Feel free to ask for more information and clarifications if need be. Above all, thanks for using our services.