1.) not knowing if the pt had recent use of antibiotics
2.) provider overuse of broad=spectrum antibiotics
3.) not performing susceptibility testing
4.) Age younger than 2 years or older than 65 years
anti-microbial resistance
5.) Daycare center attendance
6.) Exposure to young children
7.) Multiple medical co-morbidities
8.) Immunosuppression
Pharmacodynamics of inhibit biosynthesis of bacterial wall (beta-lactam ring)
Beta-lactam PCNs
1st line therapy for Strep penicillin V
pharyngitis.
1st line therapy for all bites Amoxicillin/Clavulanate (Augmentin)
Penicillin V potassium (ledercillin) Penicillin G sodium
(PCN G-Na)
Natural PCN's, Drugs Penicillin G procaine (Duracillin)
Penicillin G benzathine (Permapen)
Penicillin G potassium (Pfizerpen)
Natural PCNs active aerobic gram (+) organisms
against
Aminopenicillins active Gram (-) organisms
against
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