To: Brander who wrote (3196 ) 6/4/1998 2:18:00 PM From: Tunica Albuginea Read Replies (2) | Respond to of 9523
Infecting Organism/ Drug of First Choice Enterococcus: Penicillin G or Ampicllin : Enterococcus is now not only resistant to these drugs but it is also resistant to the ONLY drug that used to be effective against it, Vancomycin. There is fear now that thousands of dialysis patients will day of Vancomycin - resistant infections.This is also in the Medical letter ; look for it. Staphylococcus aureus or :Staph used to be sens to PCN. It is now mostly resistant.It is called Methicillin resistant Staphylococcus aureus ( MRSA ) . This is also invading hospitals now and some strains are also becoming resistant to Vancomycin ( Vanco), the only effective antibiotic.There is fear , like in enterococcus, that millions of patients with indwelling catheters or valves etc parts ( the favorite site of staph sepsis, will die. epidermidis: Penicillin G or V : as above.Rapidly emerging resistance. Streptococcus pyogenes: Penicillin G or V Streptococcus, group B: Penicillin G or Ampicillin Streptococcus viridans: Penicillin G Streptococcus bovis: Penicillin G Streptococcus pneumoniae: Penicillin G: Penicillin is no longer recommended for step Pneumoniae, the most common organism for pneum because up to 20% of isolates are becoming resistant. Streptococcus (anaerobic): Penicillin G: not common: it causes abscesses.. Neisseria meningitidis: Penicillin G.Becoming resistant. Treatment of choice now is a third generation cephalosporin Bacillus anthraccis (anthrax): Penicillin G; Essentially eradicated in USAExtinct, except in Iraq in Saddam Husseins lab were he wants to export it here Clostridium perfringens: Penicillin G: Rare forms of gangrene Clostridium tetani: Penicillin G.Tetanus very uncommon now with everybody vaccinated Erysipelothrix rhusiopathiae: Penicillin G; Listeria monocytogenes: Ampicillin : Proteus mirabilis: Ampicillin Capnocytophaga canimorsus: Penicillin G : Eikenella corrodens: Ampicillin Fusobacterium: Penicillin G ALL these are very rare Leptotrichia buccalis: Penicillin G Pasteurella multocida: Penicillin G Spirillum minus: Penicillin G Streptobacillus moniliformis: Penicillin G Actinomyces israelli: Penicillin G Borrelia recurrentis: Penicillin G Treponema pallidum (syphilis): Penicillin G Syphillis is eradicated in general Treponema pertenue: Penicillin G The Medical Letter On Drugs and Therapeutics is one of the most highly respected information sources for physicians. Penicillin remains the gold standard, first choice antibiotic for many pathogens and common infections, as you can see. To state others wise is misinformation and medically wrong. COMMENT: Your conclusion is completely wrong. If you say that in an exam today you will fail. MOST c o m m o n l y found pathogens today are resistant to penicillin. This is why PFE is trying to market TROVAN. The key word here is COMMONLY FOUND, ie the most frequent and abundant. TA