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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Infant has ear infection with pseudonomas bacteria in swab test, recommended Amikacin injections. Suggestions?

My daughter 4 months old has ear infection with pseudomonas bacteria diagnosed in swab test. Doctor has prescribed Augmentin ES (Oral) 4 days ago. she is doing fine now, and ear is also clean, but Doctor is recommending Amikacin Injections 5 days, (one dose daily). As per another doctor, if the kid is doing fine, we should avoid this strong Injection, specially mascular, as they are painful & may cause other problem. What is your recommendation. Please. YYYY@YYYY
Mon, 22 Oct 2012
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Pediatrician, Cardiology 's  Response
Hello
As the culture is showing Pseudomonas, treatment must be done with an antibiotic to which bacteria is susceptible. Amikacin has a good coverage for pseudomonas.
Augmentin does not have any action on pseudomonas. Symptomatic improvement can be due to other treatment which she has received. Without specific treatment bacteria will persist and symptoms may recur.
With regards
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  User's Response
Hi,
Pseudomonas is a bad bacterium.
But it is not an usual infection.
I suggest you repeat the swab test as child need not take the intra muscular injection unnecessarily!
All the best

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Infant has ear infection with pseudonomas bacteria in swab test, recommended Amikacin injections. Suggestions?

Hello As the culture is showing Pseudomonas, treatment must be done with an antibiotic to which bacteria is susceptible. Amikacin has a good coverage for pseudomonas. Augmentin does not have any action on pseudomonas. Symptomatic improvement can be due to other treatment which she has received. Without specific treatment bacteria will persist and symptoms may recur. With regards