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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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CSOM, Pus Discharge From Left Ear. Linezolid, Moxafloxacin Not Effective. Pus Aerobic Culture Done. Treatment?

csom which antibiotic should be used severe pus is going from left ear. pus aerobic culture done. organism islolated staphlococcus haemolyticus grown [heavy growth] methicilling resistant strain. which antibiotic is good to use sir, report is below sir.
cotrimoxazole sensitive [less than or =10]
gentamycin sensitive [4]
levofloxacin moderate sensitive[4]
linezolid sensitive [1]
nitrofurantoin senistive [less than =16]
rifampicin sensitive [less than = 0.5]
vancomycin sensitive [less than =0.5]
moxifloxacin moderate sensitive [1]
tigecycline sensitive [0.25]
quinipristin/dalfopristin sensitive[ less than= 0.25]
tetracycline sensitive [2]
sir first doctor told to take linezolid 600mg for 7 day twice daily after taking this still pus was there then doctor told again to take moxifloxacin now since 3 days taking moxafloxacin still pus is there sir please guide us which antibiotic is safe and to stop pus from ear. so that we can undergo for surgery. thanku sir.
Fri, 10 May 2013
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Allergist and Immunologist 's  Response
better to go for tetracycline 250 mg tds as it reaches the ears fast and it is sensitive in your report
aply clindamycin ointment in the ears bd
use gentycin ear drops bd
as this is also working in your reprt
add antiallergic allegra 120 g od
take this for 3 week you will be fine
dont change antibiotics like this every week
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CSOM, Pus Discharge From Left Ear. Linezolid, Moxafloxacin Not Effective. Pus Aerobic Culture Done. Treatment?

better to go for tetracycline 250 mg tds as it reaches the ears fast and it is sensitive in your report aply clindamycin ointment in the ears bd use gentycin ear drops bd as this is also working in your reprt add antiallergic allegra 120 g od take this for 3 week you will be fine dont change antibiotics like this every week