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Dosage for staph medicines - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Sorry, I didn
User :   t realize my message was deleted.
Doctor :   Please proceed with your query.
User :   My problem is, I contacted staph infection In Oct. and have been treated with antibiotics. I live in XXX and am told I need the drug Imipenem which is not available here. I can order it online but am not sure of the dosage needed. Also, I have myasthenia gravis and take prednisone 10 mgs one day and 15 the other day
Doctor :   Who suggested you the antibiotic?
User :   actually, a nurse from the XXXand also my Dr. here said it was the best antibiotic available
Doctor :   Have you got a culture and sensitivity test?
User :   no, I only have the blood test results. I have been on antibiotics since my surgery in Oct. but it I still have it. It has decreased but has not gone away
Doctor :   Ok.
Doctor :   Let me explain it to you.
Doctor :   Prednisolone is a steroid and steroids favour the growth of infection.
Doctor :   There are numerous antibiotics that are effective in the treatment of staphylococcal infection.
Doctor :   Imipenem which is a broad spectrum penicillin is the drug of choice of MRSA strains of staphylococcus.
Doctor :   Hence you would need a culture and sensitivity test before administration of the antibiotics.
Doctor :   If the culture tests shows MRSA strains, then you would need Imipenem's.
Doctor :   I shall any way suggest the dosages of these medications,
Doctor :   Imipenem's are given in the dosage of 500mg to 1gm as IV injections twice or thrice daily, depending on the severity of the infection.
Doctor :   The exact dosage can only be prescribed after a clinical examination.
Doctor :   Hence, I suggest that you have a clinical examination and a culture and sensitivity test before getting this antibiotics.
Doctor :   Have you followed what I have suggested?
User :   Yes, I will be in the XXXnext month and will follow up then. I tried to make an appointment this morning but the Dr. XXX refused me as a patient because I am a cash paying patient. They are not making this easy
Doctor :   Do you have any other query that I can assist you with?
User :   no, thank you very much
Doctor :   Please fill the feed back form too.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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