SCPA Posted March 28, 2018 Share Posted March 28, 2018 why report both cipro and levofloxacin? if the bacteria is betalactamase negative are ALL betalactams fair game? Obviously ampicillin is listed here but what about amoxil or keflex etc.. Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 28, 2018 Moderator Share Posted March 28, 2018 don't post here call your lab pathologist and ask them! (It is a good question - but remember that Cipro does not cover as much as Levo) Link to comment Share on other sites More sharing options...
SCPA Posted March 28, 2018 Author Share Posted March 28, 2018 ^^ good point. The lab states that ABX sets they use for sensitivity results have been pre-determined by infectious disease based on the bacteria that grows out. .. And when reported as negative for beta lactamase, any beta-lactam antibiotic will cover. This patient was treated with Amoxil. Link to comment Share on other sites More sharing options...
dfw6er Posted March 31, 2018 Share Posted March 31, 2018 That's strange...most of the reports I get back are for cipro sensitivity...we just extrapolate that to levaquin. Link to comment Share on other sites More sharing options...
quietmedic Posted April 1, 2018 Share Posted April 1, 2018 I'd guess there's some microbiological reason why one is different than another...that being said I have always been curious if there's any particular difference between Cipro and Levo when it comes to UTIs (although Levo is more typically for pyelonephritis)... Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted April 2, 2018 Moderator Share Posted April 2, 2018 32 minutes ago, quietmedic said: I'd guess there's some microbiological reason why one is different than another...that being said I have always been curious if there's any particular difference between Cipro and Levo when it comes to UTIs (although Levo is more typically for pyelonephritis)... It’s more about where it penetrates than coverage with cipro vs levo vs moxi Link to comment Share on other sites More sharing options...
thinkertdm Posted April 2, 2018 Share Posted April 2, 2018 Onlinemeded Antibiotic ladder about 9:40 seconds in, some jazz about while all flouroquinolones move through both the lungs and urinary tract, they both can work, but cipro, being what it is, has higher activity against gram negative organisms, which co-incidentally may be some of the organisms in the land down under. uptodate recommends abroad spectrum antibiotic for pyelo, given possibly E. coli, pseudomonas, and others; levaquin maybe more broad spectrum than cipro but uptodate does not state a particular benefit over any particular flouroquinolone (unless I read it wrong). onlinemeded is the best. Link to comment Share on other sites More sharing options...
Miaow Posted April 4, 2018 Share Posted April 4, 2018 On 4/1/2018 at 6:37 PM, thinkertdm said: Onlinemeded Antibiotic ladder about 9:40 seconds in, some jazz about while all flouroquinolones move through both the lungs and urinary tract, they both can work, but cipro, being what it is, has higher activity against gram negative organisms, which co-incidentally may be some of the organisms in the land down under. uptodate recommends abroad spectrum antibiotic for pyelo, given possibly E. coli, pseudomonas, and others; levaquin maybe more broad spectrum than cipro but uptodate does not state a particular benefit over any particular flouroquinolone (unless I read it wrong). onlinemeded is the best. I just sat here and watched that entire lecture and really enjoyed it. I am refreshed to know that it was almost entirely review and not in the - Shit that I don't know and seriously wonder how I've gotten this far without it - category. Link to comment Share on other sites More sharing options...
thinkertdm Posted April 4, 2018 Share Posted April 4, 2018 7 minutes ago, Miaow said: I just sat here and watched that entire lecture and really enjoyed it. I am refreshed to know that it was almost entirely review and not in the - Shit that I don't know and seriously wonder how I've gotten this far without it - category. Yeah, he's awesome. The Acls videos are also nice reviews too. Link to comment Share on other sites More sharing options...
cbrsmurf Posted April 4, 2018 Share Posted April 4, 2018 On 3/28/2018 at 0:19 PM, SCPA said: ^^ good point. The lab states that ABX sets they use for sensitivity results have been pre-determined by infectious disease based on the bacteria that grows out. .. And when reported as negative for beta lactamase, any beta-lactam antibiotic will cover. This patient was treated with Amoxil. It's been a while since I have treated a UTI, but why would one use amoxicillin? If I remember correctly, it has poor penetrance/bioavailability in the urinary tract. Link to comment Share on other sites More sharing options...
MidwesternTexan Posted April 4, 2018 Share Posted April 4, 2018 On 3/27/2018 at 7:03 PM, SCPA said: why report both cipro and levofloxacin? if the bacteria is betalactamase negative are ALL betalactams fair game? Obviously ampicillin is listed here but what about amoxil or keflex etc.. This is a Urines' culture Sensitivity interpretation, No? I thought we you were going to talk about colony #'s, #'s of squamous cells, nitrites, etc. Nice comments btw, great crowd! Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.