Question 1

why do we give 1/2 dose (150) inhaled tobramycin, twice a day? could 36lb kids get a full dose once daily to same effect? (trach w colonized pseudom)

Accepted Answer

Antibiotic dosing: Your body breaks down antibiotics at a steady rate, and it takes a certain amount of antibiotic for it to work. If you were to only dose the tobramycin once a day, it will be too low to work in ~12-16 hrs; by using it twice a day, you keep it in your system & it works much better.

Question 2

i am using tobi (tobramycin) (inhaled antibiotic, 28 days on, 28 days off. after just one month, i feel a lot better! is t ok to stop?

Accepted Answer

Depends: Depends why you were prescribed this. Discuss with your prescribing doctor.

Question 3

can inhaling tobramycin kill mrsa ? i am a pedi trach patient. will it kill kleb oxytoca that is esbl?

Accepted Answer

MRSA: Mrsa stands for methacillin resistant staphloccous aureaus.
This bacteria is most resistant to any antibiotic except vancomycin and teflor (not yet approved for pulmonary infections). Having MRSA may just mean your child is a carrier, not infected. Klebsiella is a totally different bacteria with different sensitivies, but also resistant to many antibiotics. An infectious disease specialist.

Question 4

with kid trachees, colonized with pseudo, esbl kleb oxytoca & staph, what inhaled abx could be used prophylaxi? (obv. working with pulmo) tobi (tobramycin) allergy

Accepted Answer

Ciprofloxacin : Approved for inhaled use, would discuss with pulmonary. Benefits may outweigh the risks.

Question 5

what could it be?  a bad vitamin-ey smell in nose and trach cannula? have been taking inhaled tobramycin and cefepime through picc line for pneumonia and have been off them both for  8 days.

Accepted Answer

What : What other medical problems do you have?  Why do you have a tracheostomy tube?  What was the offending bacteria causing your pneumonia?  Most importantly--how are your symptoms?  Fever, breathing ok, sputum from your trach tube?

As an otolaryngologist, I have a lot of experirnce with nasal/sinus issues and trach tubes.  My guess is that you are recovering from a significant insult to your respiratory tract.  The organisms that were treated are likely gone, but you are left with the aftermath.  The lungs are likely transiently damaged and need to recover.  That can include the mucociliary clearance of the mucous produced normally in the lungs as well as byproducts of the infection--these can all lead to abnormal smell from the respiratory tract.  For you now, pulmonary toilet (the actions you do to cealn out your lungs, trachea, and tracheostomy tube) is going to be very imortant to clean all that "crud" out.  Deep coughing and deep suction with saline "spritzes" are important, nebulized saline will loosen the secretions and allow for easier clearance.  Saty hydrated.

If you are having worsening symptoms, see your doctor.  He or she may be able to stop a situation from getting worse and keep you out of an er or from getting admitted to the hospital.

Question 6

is tobramycin inhalation solution used as a lifelong treatment for patients with   bronchiectasis  and pseudomonas aeruginosa. ?

Accepted Answer

Tobramycin inhalatio: Yes tobramycin can be used for this but it may not be lifelong.  Find a good pulmonologist and work with them.  They will work it out.  Good luck and feel
Better!

Question 7

what are uses for tobramycin?

Accepted Answer

Antibiotic: Intravenous tobramycin is an antibiotic used to treat various kinds of infections caused by gram negative organisms.  Hospital acquired pneumonia is a common scenario where IV tobramycin is used.  Topical tobramycin can be used to treat conjunctivitis and external ear infections.

Question 8

is tobramycin prescribed for conjunctivitus?

Accepted Answer

Tobramycin: And other antibiotic drops are often prescribed for treatment of conjunctivitis.  Keep in mind that most cases of pink eye are due to viral infections.  Antibiotic drops don't affect the course of these types of infections.

Question 9

is tobramycin dexamethasone used for babies?

Accepted Answer

Yes: But only under the advise of an ophthalmologist.

Question 10

can you use tobramycin on a 3 month old baby?

Accepted Answer

Yes: Usually used for eye drops.  If infant is ill and hospitalized with a bacterial infection, tobramycin is sometimes chosen for threatment.

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Doctor answers about:

Tobramycin for inhalation

A member asked:

Why do we give 1/2 dose (150) inhaled tobramycin, twice a day? could 36lb kids get a full dose once daily to same effect? (trach w colonized pseudom)

A member asked:

I am using tobi (tobramycin) (inhaled antibiotic, 28 days on, 28 days off. after just one month, i feel a lot better! is t ok to stop?

A member asked:

Can inhaling tobramycin kill mrsa ? i am a pedi trach patient. will it kill kleb oxytoca that is esbl?

A member asked:

With kid trachees, colonized with pseudo, esbl kleb oxytoca & staph, what inhaled abx could be used prophylaxi? (obv. working with pulmo) tobi (tobramycin) allergy

A member asked:

What could it be? a bad vitamin-ey smell in nose and trach cannula? have been taking inhaled tobramycin and cefepime through picc line for pneumonia and have been off them both for 8 days.

A member asked:

Is tobramycin inhalation solution used as a lifelong treatment for patients with bronchiectasis and pseudomonas aeruginosa. ?

A member asked:

What are uses for tobramycin?

A member asked:

Is tobramycin prescribed for conjunctivitus?

A member asked:

Is tobramycin dexamethasone used for babies?

A member asked:

Can you use tobramycin on a 3 month old baby?

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