Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
Broke Femur. Was On Bactrim And Doxycyline. Have Tingling And Numbness In Feet. Recommendations?
I have been on Augmentin since April 2010. I broke my femur and have bacteria attacking my hardware. I was also on Bactrim and then doxycyline but deveoped servere side effects, I am now having tingling and numbness in my feet, I have to take it for life but the tingling and numbness is getting worse, Phyllis a Wheeler
Thank you but I will see my Infectious Disease Dr and try again to see if I can take an alternative drug. I am sorry I bothered you, I didn't know I had to pay.
Hi, thanks for writing to HCM. This is just to inform you that whenever an infection sets in after an orthopedic implant surgery (like in your case), it will never be eradicated with any antibiotic irrespective of the time period used. So the infection will be there as long as the impant is retained in the bone.
This is because the bacteria gets adherent to the metal implant and form "biofilms" around them into which no antibiotic penetrates. Antibiotics only reach to the site where blood supply is present so they cant reach onto the metal surface of the implant. So there is no rationale in simply using antibiotics for extended periods of time only to suffer their side effects.
The only way of getting rid of the infection is by REMOVING THE IMPLANT.
Hope this information is helpful. Good day
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Broke Femur. Was On Bactrim And Doxycyline. Have Tingling And Numbness In Feet. Recommendations?
Hi, thanks for writing to HCM. This is just to inform you that whenever an infection sets in after an orthopedic implant surgery (like in your case), it will never be eradicated with any antibiotic irrespective of the time period used. So the infection will be there as long as the impant is retained in the bone. This is because the bacteria gets adherent to the metal implant and form biofilms around them into which no antibiotic penetrates. Antibiotics only reach to the site where blood supply is present so they cant reach onto the metal surface of the implant. So there is no rationale in simply using antibiotics for extended periods of time only to suffer their side effects. The only way of getting rid of the infection is by REMOVING THE IMPLANT. Hope this information is helpful. Good day