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3 comments:

A Canadian said...

Unlike many diseases, there is no optimal medical therapy for infections caused by VRE.3 The options are numerous, and the decision is often the site of the infection risk.
Endocarditis: Endocarditis caused by VRE is relatively rare and is often associated with the presence of a prosthesis valve.1 must be treated with cell wall plus an aminoglycoside drug such as ampicillin. Published case reports have suggested other solutions, such as a combination of teicoplanin and amoxicillin or a combination of ampicillin, imipenem and vancomycin.9, 10 May seem at odds with vancomycin-resistant enterococci for vancomycin, but the combination of vancomycin and ampicillin may Synergy exposure. Vancomycin is the ability to induce synthesis of modified cellsWall substances in the sample as ampicillin activity.1
UTI: urinary tract infections caused by VRE are frequent and associated with the use of the catheter. Most strains remain susceptible to nitrofurantoin nitrofurantoin.1 If ineffective or resistance indicated that other options are ampicillin or amoxicillin.6 fluoroquinolones have been successful in treating these infections, but cure rates were less than outstanding, 2
Intra-abdominal infections: intra-abdominal infections tend to be aerobic with indigenous organizations and anaerobic mixed. Experimental data suggest that there is a synergy between enterococci and anaerobic bacteria may be, with an increased risk of abscesses, and in some cases, increased mortality was. In This situation, enterococci and treats copathogens often enough with debridement and drainage without antibiotics targeting enterococci.11
Bacteremia: VRE bacteremia is a major complication in surgical patients and is associated with a mortality rate of 33% to 68% .11 In addition to surgery, were accessing other risk factors for the development of bacteremia, urinary tract infections, pelvic infections, wounds and IV. These infections are especially problematic in immunocompromised patients. Treatment options for VRE bacteremia include a combination of vancomycin and ampicillin or the combination of chloramphenicol and doxycycline.4 addition, linezolid, a member of the oxazolidinone class of synthetic antibiotics, has been used successfully aloNE and in combination with gentamicin in the treatment of VRE bacteremia.12 13
Meningitis: Meningitis is a rare complication of the AER, but is associated with high mortality. Meningitis are usually in the creation of additional long-term illnesses such as cancer or kidney failure and is associated with invasive procedures, central nervous system (CNS) trauma or meningitis successfully treated CNS.2 observed by using a combination of ampicillin and an aminoglycoside or chloramphenicol alone .4 14
It was from the following site (more information can be read here): http://www.uspharmacist.com/oldformat.as ...

February 19, 2010 at 10:32 PM

aliaysle... said...

Well, "resistant to vancomycin, which means it is resistant to the strongest anitbiotic. A cyclical staff simply not a drug powerful enough to kill. I'm looking for some things, I tried this stuff until the next day and it was only "supportive care" such treatment with doses higher than we treat availble .... This is an open wound? Debreidment did you already have, or a wound vac that? I've heard some of the mother or the treatment of STEMI, which had new and good results in open wounds.

February 20, 2010 at 10:51 AM

Fisher said...

1-The antibiotic vancomycin is either not the strongest. It is actually less powerful than many antibiotics, the antibiotic is onw last stop, which for a large number of bacteria, making it the treatment of resistant strains.

2 of enterococci, staphylococci is not cyclic) (personnel. It used to be either that the streptococcal (STREP, for short) - then bogeys the termination.

There are alternatives to vancomycin. Linezolid and daptomycin come to mind. Including resistance depends on the profile of this particular strain.

February 20, 2010 at 8:36 PM