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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hand Infection Between Thumb And Fore Finger, Diabetic. Liquid Antibiotic Recommend?

i have andeep hand infection, a doctor created it by cutting into the area between my thumb and finger! it is a dangerous painfull yellow hard puss mess. tomorrow is 9 days of intervienes, plus 4800 mg of penicilin orally! not getting better.looks like i may loose my hand and life! iam scared and diabetic! what liquid antibiotic would you reccomend??
Sat, 17 Aug 2013
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General & Family Physician 's  Response
You would be better off using a antibiotic which is effective in beta-lactamase resistant infections,Amoxicillin-Clauvinic acid combination along with aminoglycosides and fourth generation antibiotics may help.Strict diabetes control is imperative,hospitalisation and use of intravenous drugs and cleaning and debridement and draining of the pus from the wound will help in recovery.Oral medicines will not be as effective as intravenous drugs.
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Hello,
It could really turn out to be dangerous situation for you.
Uncontrolled sugar levels will not let your wound heal,no matter what antibiotic you take.
You should consult a surgeon,get your wound properly debrided,get culture of pus from wound done and take proper antibiotic therapy according to the culture and control your blood sugar levels,preferably with injectable insulin,till your wound heals.
You can switch back to oral antidiabetic drugs,once your wound heals completely.
thanks
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Hand Infection Between Thumb And Fore Finger, Diabetic. Liquid Antibiotic Recommend?

You would be better off using a antibiotic which is effective in beta-lactamase resistant infections,Amoxicillin-Clauvinic acid combination along with aminoglycosides and fourth generation antibiotics may help.Strict diabetes control is imperative,hospitalisation and use of intravenous drugs and cleaning and debridement and draining of the pus from the wound will help in recovery.Oral medicines will not be as effective as intravenous drugs.