The Secret of Great Health Care
Antibiotics are powerful weapons in the fight against infectious disease. Unfortunately, they are overused and this overuse may eventually result in them not working in the future. The role of the patient is to have a basic understanding about when antibiotics are needed and when they are not.
Many health care conditions can be managed without antibiotics, but with time, home remedies and some over the counter medications.
It is the responsibility of the patient to have a basic understanding when antibiotics are needed and when they are not. The patient needs to partner with their doctor in order to get the best health care experience possible.
The goal of this book was to help the reader understand basic antibiotics prescribed in the doctor’s office. As a summary to the book, below is a list of common diseases and which antibiotics should be considered. Many factors need to be considered when an antibiotic is prescribed, but this chart will help the reader understand antibiotics that are appropriate in the management of common diseases.
The chart lists a disease and then a primary and secondary antibiotic. This chart is used for the management of common diseases that present typically in the average person. There are times that a doctor will need to stray from the recommendations.
It describes first-line treatment. This means that a disease is being treated for the first time. When antibiotics fail the first time a second-line treatment is often needed. This chart does not dive into that.
The primary antibiotic is the recommended antibiotic for most cases of the infection. The secondary antibiotic is another consideration if there is an allergy or another problem with the primary choice.
These conditions will, at times, be treated with other antibiotics. There are many reasons for this. For example, the first antibiotic did not work, the patient had an allergy, the patient had another underlying condition that may alter the course of treatment, and sometimes the doctor does not know the guidelines.
Table 6: Common health care problems and antibiotics used to treat them
|
Disease |
Primary antibiotic |
Secondary antibiotic |
|
Strep throat |
Penicillin Amoxicillin is OK in kids who need the liquid form |
Cephalosporins – if mild allergy Macrolide if severe allergy |
|
Sore throat that is not strep or another bacterial infection |
None |
|
|
Sinus Infection |
Amoxicillin |
Cephalosporins – if mild allergy Macrolide if severe allergy (increased resistance). |
|
Cold (Nasal congestion of less than 7 days) |
None |
None |
|
Inner ear infection |
Amoxicillin Amoxicillin-Clavulanate Sometimes no antibiotic is needed - only pain control |
Cephalosporins – if mild allergy Macrolide if severe allergy |
|
Outer ear infection |
Hydrocortisone/polymyxin/neomycin, Ciprofloxacin/hydrocortisone (Cipro HC otic), Ciprofloxacin/dexamethasone |
Another choice from: Hydrocortisone/polymyxin/neomycin, Ciprofloxacin/hydrocortisone (Cipro HC otic), Ciprofloxacin/dexamethasone |
|
Acute Bronchitis |
Most cases are viral and do not need an antibiotic |
Amoxicillin, sulfa drug, macrolide if a bacterium is suspected |
|
Pneumonia (that does not need to be treated in the hospital) |
Macrolide or quinolone |
Doxycycline |
|
Urinary tract infection |
Sulfamethoxazole-trimethoprim, nitrofurantoin and ciprofloxacin |
Antibiotic based on the culture and sensitivity report |
|
Bacterial conjunctivitis |
Multiple eye drops or ointments (see chart) |
Another option from the eye drop/ointment chart |
|
Skin infections (Not caused by MRSA) |
Cephalexin (Keflex), Dicloxacillin |
Clindamycin Macrolide |