Clindamycin and bactrim allergy

    • [PDF File]ANTIBIOTIC RECOMMENDATIONS FOR PERI-OPERATIVE PROPHYLAXIS

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      Penicillin or cephalosporin-allergic patients who are receiving clindamycin should receive vancomycin IN PLACE of clindamycin if their MRSA is known to be resistant to clindamycin. VRE Colonization Patients with known VRE colonization who are undergoing liver, multi-visceral, or lung transplant should have perioperative prophylaxis ...

    • [PDF File]Bacterial Urinary Tract Infection (UTI) - Hopkins Medicine

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      Severe PCN allergy: Aztreonam 1 g IV Q8H OR Gentamicin Duration : 7–14 days Hospitalized > 48H Cefepime 1 g IV Q8H OR ... Clindamycin, Cefdinir, Moxifloxacin, Oxacillin, Tigecycline, Micafungin, Posaconazole, Voriconazole References 1. Boscia JA et al: Lack of association between bacteriuria and symptoms in the elderly. Am J Med 81:979, 1986

    • [PDF File]clindamycin hydrochloride capsules, USP WARNING - Food and Drug ...

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      Clindamycin hydrochloride is the hydrated hydrochloride salt of clindamycin. Clindamycin is a semisynthetic antibiotic produced by a 7(S)-chloro-substitution of the 7(R)-hydroxyl group of the parent compound lincomycin. CLEOCIN HCl Capsules contain clindamycin hydrochloride equivalent to 75 mg, 150 mg, or 300 mg of clindamycin.

    • [PDF File]Clindamycin-Resistant Group B Streptococcus - Centers for Disease ...

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      Clindamycin is recommended when a mother has a severe penicillin allergy. Clindamycin can also be used to treat adult GBS infections if the patient has a severe penicillin allergy. However, clindamycin-resistant germs cause . more than 40% of GBS infections. Resistance to a related antibiotic called erythromycin is even more common—more than 50%.

    • [PDF File]THE BEST ANTIBIOTIC SENSITIVITY CHART EVER (at least the best we could ...

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      Clindamycin Linezolid/tedizolid Meropenem/imipenem/doripenem Colistin/polymyxin B THE "BEST" ANTIBIOTIC SENSITIVITY CHART EVER (at least the best we could make) Created by James McCormack, BSc(Pharm), PharmD and Fawziah Lalji, BSc(Pharm), PharmD, FCSHP with assistance from Tim Lau

    • [PDF File]TREATMENT OF ANIMAL BITES IN PATIENTS ADMITTED TO ADULT SERVICES

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      PCN Allergy Linezolid 600 mg PO BID + Ciprofloxacin 750 mg PO BID + Metronidazole 500 mg PO TID Preferred Piperacillin-tazobactam 4.5 g IV q6h PCN Allergy Vancomycin 15 mg/kg IV q12h + Aztreonam 2 g IV q8h + Metronidazole 500 mg IV q8h Only a minority of snake bites become infected and need antibiotics. Most infection of snakebites are

    • [PDF File]Antimicrobial Surgical Prophylaxis - Michigan Medicine

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      allergy3/contraindication4 to any beta-lactam5 or history of MRSA infection or colonization: Vancomycin Alternative to vancomycin if true vancomycin allergy (not Red-Man’s): Daptomycin Continue post-op for 24-48 hours Pediatrics: Cefazolin Pediatric: Any allergy to cefazolin OR high-risk allergy3/contraindication4 to any beta-lactam5: Clindamycin

    • [PDF File]Cellulitis - Hopkins Medicine

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      Clindamycin resistance is seen in 16 –33% of group B, C, and G strep but remains low in group A strep (4–7%). Clindamycin resistance has increased to 43% of MSSA isolates and 64% of MRSA isolates and should NOT be given empirically. Resistance to fluoroquinolones in S. aureus is common and develops quickly; > 95% of MRSA isolates are

    • [PDF File]SKIN AND SOFT TISSUE INFECTIONS - Michigan Medicine

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      threatening penicillin allergy (in patients with or without risk for MRSA) Clindamycin 600 mg IV q8h Alternative for patients at risk for MRSA non-purulent cellulitis: Vancomycin* IV (see nomogram, AUC goal 400-600) if MRSA coverage is indicated Patients at risk for MRSA: progressive cellulitis, or signs of •Cellulitis worse on >48 hours of IV

    • [PDF File]EMPIRIC ANTIBIOTIC GUIDELINES FOR SKIN AND SOFT TISSUE INFECTIONS IN ...

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      Alternative to TMP-SMX2 if sulfa allergy Doxycycline3 2.2 mg/kg/DOSE PO BID (max: 100 mg/DOSE) Alternative for low/medium-risk allergy4 to cephalexin5, OR high-risk allergy6/contraindication7 to beta-lactams: Clindamycin 10 mg/kg/DOSE PO TID (max: 450 mg/DOSE) Duration: 5 days S. aureus isolates from impetigo are commonly methicillin ...

    • [PDF File]Outpatient† management of skin and soft tissue infections in the era of ...

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      Clindamycin FDA-approved to treat serious infections due to S. aureus D-zone test should be performed to identify inducible clindamycin resistance in erythromycin-resistant isolates Clostridium difficile-associated disease, while uncommon, may occur more frequently in association with clindamycin compared to other agents. Tetracyclines

    • [PDF File]Surgical Prophylaxis Antibiotic Recommendations Updated 2017

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      allergy) (max 15 mg/kg 1000 mg) 1 gm 1.5 gm 2 gm clindamycin IV 10 mg/kg (max 900 mg) 900 mg daptomycin (MRSA or allergy) contact pharmacy Head and Neck 30 mg/kg All jaw fracture repairs (MRSA or With or w/o interdental fixation Diverticulectomy of hypopharynx or esophagus with or w/o myotomy, cervical approach cefazolin IV* (max 1000 mg)

    • [PDF File]Penicillin Allergy Guidance Update .uk

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      Antibiotics considered safe in penicillin allergy (not Key Points: Penicillin allergy is often over reported. Incidence of true anaphylactic reaction is 0.05% of the population and ... Clindamycin Colistin Co-trimoxazole Doxycycline Erythromycin Gentamicin Linezolid Metronidazole Nitrofurantoin Minocycline Rifampicin Sodium fusidate Teicoplanin

    • [PDF File]Allergic Cross-reactivity of Select Antimicrobials - UC Davis

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      Lexi-comp (online.lexi.com) has a drug allergy and idiosyncratic reactions database that is searchable by drug class. For example, for levofloxacin allergy search “fluoroquinolone allergy.” There is also a review of penicillin cross reactivity under “penicillin allergy.” Figure: Penicillin Core Structure Selected References: 1.

    • [PDF File]Skin and Soft Tissue Infections: Treatment Guidance

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      Severe Penicillin Allergy: Clindamycin 300 mg PO q8h . Moderate-severe • Cefazolin 2g IV q8h . OR • Oxacillin 2g IV q6h. Severe Penicillin Allergy: Clindamycin 600 mg IV q8h. Severe systemic illness or no response/worsening at 48 hours • Consider vancomycin 10-15 mg/kg IV q12h § If streptococcal infection confirmed on culture (no PCN ...

    • [PDF File]ANMC Guideline for Uncomplicated Skin and Soft Tissue Infection

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      *Sulfa allergy: 2ndLine Clindamycin 450mg PO TID 3rdLine Doxycycline 100mg PO BID 4) Ibuprofen 600mg PO TID if no contraindications to NSAID therapy 5) Elevate affected area Drainage is the most important intervention. Antibiotics may not be necessary for drained abscesses without surrounding induration or erythema Abx Treatment Duration: 5-7 days

    • [PDF File]Skin and Soft Tissue Infections - University of California, Los Angeles

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      isolates for inducible Clindamycin resistance and this testing is reflected in the reported susceptibility data. If no culture data to guide therapy and high risk or suspicion of CA-MRSA or failure to improve on clindamycin, change clindamycin to alternate active agent such as bactrim or doxycycline. Resistance to fluoroquinolones in . S. aureus

    • [PDF File]CLINDAMYCIN drug? or 450 mg every 8 hours.

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      (TMP/SMX, Bactrim , Septra ) or dapsone. This combination is a safe and effective alternative. Clindamycin can also be given in combination with pyrimethamine (Daraprim ) to treat toxoplasmosis (a rare and severe brain infection). Clindamycin can be used to treat certain skin or blood infections, and may also given

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