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Therefore, systemic antibiotic treatment may be required, but only if there is evidence of spreading infection. [9] As the bacteria involved are known, antibiotic therapy selection can be specific, based on published susceptibilities. [9] Penicillin in the form of amoxicillin is the most common antibiotic to use. [4]
Cefalexin is a useful alternative to penicillins in patients with penicillin intolerance. For example, penicillin is the treatment of choice for respiratory tract infections caused by Streptococcus , but cefalexin may be used as an alternative in penicillin-intolerant patients. [ 4 ]
Antibiotics with less reliable but occasional (depending on isolate and subspecies) activity: occasionally penicillins including penicillin, ampicillin and ampicillin-sulbactam, amoxicillin and amoxicillin-clavulnate, and piperacillin-tazobactam (not all vancomycin-resistant Enterococcus isolates are resistant to penicillin and ampicillin)
Do you have a penicillin allergy? Most people who are allergic to penicillin may not actually have the allergy. Tests can confirm if a person is allergic to penicillin.
Clarithromycin is primarily used to treat a number of bacterial infections including pneumonia, Helicobacter pylori, and as an alternative to penicillin in strep throat. [6] Other uses include cat scratch disease and other infections due to Bartonella , cryptosporidiosis , as a second line agent in Lyme disease and toxoplasmosis . [ 6 ]
The antibiotic may be used for patients who are allergic to penicillin due to the different β-lactam antibiotic structure. The drug is able to be excreted in the urine. The drug is able to be excreted in the urine.