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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Metronidazole And Cefixime Sufficient To Reduce Infection On The Surgical Wound?

Hi, I have a brother who was bitten in the upper right arm requiring approx 12 stitches to replace a skin flap (happened in Portugal on vacation) treated at a hospital and received an 8 day course of what sounds like augmentin -Amoxicillin 875 mg + Acido Clavulanico 125mg every 12 hours for 8 days . Wound was inspected today and shows signs of infection (8th day of antibiotic) so he was put on Metroidazole 250 mg TID x 10 days, and Cefixime 400 mg QD x 5 days. Is this adequate antibiotic coverage? This was prescribed by a doctor in Jordan where he lives. He has a history of being exposed to MRSA (+MRSA nasal swab approx 5 yrs ago for which he was treated). Thank you...
Thu, 26 Dec 2019
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General & Family Physician 's  Response
Hello,

Cefixime plus metronidazole appears to reduce the risk of surgical site infection. So, the treatment is correct. I would also recommend an antibiotic cream for local application to reduce the infection.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Dorina Gurabardhi, General & Family Physician
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Are Metronidazole And Cefixime Sufficient To Reduce Infection On The Surgical Wound?

Hello, Cefixime plus metronidazole appears to reduce the risk of surgical site infection. So, the treatment is correct. I would also recommend an antibiotic cream for local application to reduce the infection. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Dorina Gurabardhi, General & Family Physician