Are PIC lines and IV effective at treating streptococcus equi?
Please attach an antibiogram.
Can you please attach an antibiogram of the S.Equine diagnosed from the knee fluid?
Thinking about joint infection, it is very necessary to consider antibiotic penetration to joints and bones.
Please note that in this kind of tissues, not all antibiotics will be present in therapeutic concentration (the amount necessary to kill bacteria).
So if its i.v. or oral antibiotic is not the most important factor. I.V. antibiotics should be given as a therapy beginning and switched to oral antibiotic after a week or two.
Please note that oral absorption of some antibiotic is comparable to i.v.
Keflex seems to be not the best choice. However, it all depends on the antibiogram. So please attach it.
Hope I have answered your query. Let me know if I can assist you further.
Knee fluid aspiration seems advisable.
They must have an antibiogram. How about aspirating knee fluid and check it again? Sometimes bacteria become resistant to current treatment and antibiotic must be changed. Especially if the symptoms do not disappear.
Hope I have answered your query.
Dr Grzegorz Stanko, General Surgeon
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