A member asked:

Is ertapenem or zosyn (piperacillin and tazobactam) better for diabetic ulcer foot infections?

14 doctors weighed in across 4 answers

IT ALL DEPENDS ON: Which bacteria is causing the infection.

Answered 3/22/2020

5.8k views

Thank
Dr. Payam Rafat answered

Specializes in Podiatry

It depends: Both zosyn (piperacillin and tazobactam) ertapenem are very powerful antibiotic which are generally very effective for diabetic foot ulcers. One must however know which organism we are dealing with in order to determine the best choice of antibiotic. Antibiotic selection should be selected based on a culture and sensitivity.

Answered 10/4/2016

5.3k views

Thank

Neither: If indeed you have an infection a proper culture should be done and the choice of antibiotic based on results.

Answered 5/12/2016

5.1k views

Thank
Dr. Michael Ein answered

Specializes in Infectious Disease

Equal: Both would be appropriate treatment. Zosyn (piperacillin and tazobactam) would cover most strains of pseudomonas and enterococcus while ertapenem would be better if esbl producing bacteria were involved. Neither drug covers MRSA so vancomycin is usually included in empirical therapy of these infection. De-escalation and definitive therapy is determined by deep tissue or wound culture results.

Answered 5/12/2016

4.9k views

Thank

Related Questions

A member asked:

What is a stage 3 diabetic foot ulcer?

8 doctors weighed in across 5 answers

A member asked:

Is it possible for warfarin to cause diabetic foot ulcers?

19 doctors weighed in across 5 answers

A member asked:

How common are diabetic foot ulcers?

12 doctors weighed in across 5 answers

A member asked:

Which products work best on diabetic foot ulcers?

8 doctors weighed in across 3 answers

A member asked:

Can you tell me if diabetic foot ulcers ever heal?

6 doctors weighed in across 4 answers