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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Enterobacteriaceae And Sinus?

i have had sinus problems for years probally 10 plus started after i quit smoking. 3 years ago i had FESS with improvement for only a couple months polyps returned and so did infections. My mos recent infection prompted me to go to the doctor etc.. get leviquin and i didnt work. I had my cousin who works in a lab in a hospital in Pa do a smear culture and start a fungal growth culture, she found heavy growth of e. coli. she directed me back to my doctor wich i had to demand a culture to be done it came back with e. coli and enterobacteracea . It is resistant to most of the antibiotics i can take im allergic to penicilan oan cephlosporins What can I do?
Tue, 16 Feb 2016
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General & Family Physician 's  Response
Hi thanks for asking question.
You have infection with e.coli and enterobacter.
You had allergy to penicillin group drug.
So antibiotic that is effective against both this bacteria is to used like levofloxacin.
This antibiotic will mostly clear the infection.meanwhile during culture , sensitivity report also done to guide antibiotic therapy.
If chronic sinusitis with polyp then surgical treatment needed.
Steam inhalation helpful.
If congestion is more you can use antihistaminic drugs for getting relief from inflammation.
I hope you understand my concern.
Wish you good health
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What Is The Treatment For Enterobacteriaceae And Sinus?

Hi thanks for asking question. You have infection with e.coli and enterobacter. You had allergy to penicillin group drug. So antibiotic that is effective against both this bacteria is to used like levofloxacin. This antibiotic will mostly clear the infection.meanwhile during culture , sensitivity report also done to guide antibiotic therapy. If chronic sinusitis with polyp then surgical treatment needed. Steam inhalation helpful. If congestion is more you can use antihistaminic drugs for getting relief from inflammation. I hope you understand my concern. Wish you good health