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Suggest Treatment For Cold In A Person Post Lobectomy

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Posted on Mon, 2 Mar 2015
Question: Dear doctor , my dad had status post left lobectomy when he was 20. He is 70 years old now .He has caught a cold ( flu) right now and we were told that to see which antibodics is working for my dad was by reviewing culture and sensitivity report.
we got done sputum culture to find out the causative organism and then sensitivity report to start appropriate antibiotic therapy.
But since he is already on klacid for 10 days twice 250 mg , the report shows no bacterial infection . Would I ask that is the test still
Accurate when under medication already . His mucus is almost white but still coughing a lot . should he continue with klacid for few more days or increase to 250 mg got three times instead of twice .
Or should he try
Augmenting forte ??
Thanks. Very concerned about my dad health .
doctor
Answered by Dr. Indu Kumar (1 hour later)
Brief Answer:
Your father need proper evaluation.

Detailed Answer:
Hello

Culture report may be negative due to antibiotic taken by your father.
Klacid is a broad spectrum antibiotic covering large number of organisms.
Empirically cephlalosporin group of antibiotics like cefixime tablet can also be prescribed.Dual antibiotic will cover much more organisms.
He may need antihistaminics after evaluation.

Besides this,your father need proper clinical evaluation and investigations.Since he is not responding well to klacid,it is important to exclude other causes.
Routine hemogram,random blood sugar and chest X-ray (PA view)should be taken.CT scan of thorax can be done if needed.
Since he is 70 years old,non resolving cough need complete evaluation.

Further treatment plan depend upon investigation findings.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (36 hours later)
Dear doctor ,
Dad has been prescribed with Augmentin duo forte 125mg875mg but in Taiwan the dose is 625 mg instead , so how many days should he on the medication . He has stopped taking klacid As he has talk g 10 days and he still has yellow mucus .
doctor
Answered by Dr. Indu Kumar (12 hours later)
Brief Answer:
It is prescribed for 5-7 days but it may be extended up to 10 days.

Detailed Answer:
Hello

Generally Augmentin duo forte is prescribed for 5-7 days but it may be extended up to 10 days.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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Suggest Treatment For Cold In A Person Post Lobectomy

Brief Answer: Your father need proper evaluation. Detailed Answer: Hello Culture report may be negative due to antibiotic taken by your father. Klacid is a broad spectrum antibiotic covering large number of organisms. Empirically cephlalosporin group of antibiotics like cefixime tablet can also be prescribed.Dual antibiotic will cover much more organisms. He may need antihistaminics after evaluation. Besides this,your father need proper clinical evaluation and investigations.Since he is not responding well to klacid,it is important to exclude other causes. Routine hemogram,random blood sugar and chest X-ray (PA view)should be taken.CT scan of thorax can be done if needed. Since he is 70 years old,non resolving cough need complete evaluation. Further treatment plan depend upon investigation findings. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX