Doctor insights on:
Antibiotic Prophylaxis Guidelines For Colonoscopy
Any recommendations for long term follow up for elderly woman hospitalized for UTI ? ?Low dose maintenance antibiotics ?Monthly testing?
Prevention measures: Daily cranberry juice or pill will help to prevent uti. However, if there is multiple uti, then there may be a kidney stone, tumor, incontinence, dryness of vaginia, bladder dysfunction or urethrea problem. Urology consultation is therefore recommended to prevent from having long term UTI problems. ...Read more
Is antibiotic prophylaxis for dental procedures recommended for those with pacemakers? I didn't think so...
What is the question: Yes, you should be treated.Get a more detailed answer ›
See below: All things are relative. Ancef (cefazolin) is relatively safe although the risk of getting c. Difficile again is real. The risk of surgical wound infection needs to be weighed against the risk of getting c. Difficile again. If you take the ancef (cefazolin) and develop diarrhea get stool checked for c. Difficile again. ...Read moreSee 1 more doctor answer
See below: A prescription is not needed. Vaccine can be obtained from your provider, health department, or maybe student health. ...Read more
What's the likelihood of long term antibiotic prophylaxis resulting in pulmonary fibrosis with Nitrofurantoin? Mom's getting sequentially recurrentuti
Pulmonary fibrosis : Pulmonary fibrosis due to nitrofurantoin is rare, about less than 1% reported in literature, but risk increases with age of patient and other medical condition. Symptoms may start to develop after 6 months of treatment. Usually fatigue, dry cough and shortness of breath without fever. Stop the nitrofurantoin if these symptoms develop and see a physician immediately ...Read more
Do I need to continue taking Prevacid (lansoprazole) after completion of triple-drug therapy for eradication of an H. Pylori infection?
Yes: Protection lasts at least 2 years.Get a more detailed answer ›
Illinois allows minors to be treated for STD's without parental consent. Does that include preventative treatment like vaccines and/or PrEP for HIV?
Call the health dept: Most or all states have similar laws, but the details vary. In my state (Washington), the HPV and hepatitis B vaccine and HIV PrEP are permitted. I don't know about IL, but I'm sure you can find out confidentially from the state health department by phone or online. But caution: legal permission may not mean free services or payment. Ask whether parents or their insurance might be billed. ...Read moreSee 1 more doctor answer
What is the recommended dosage of dilucan for oral candidiasis for a patient receiving hemodialysis?
Diflucan (fluconazole)?: 100 mg daily will be adequate. Due to partial renal excretion, which is lacking in dialysis patients, the dose may need to be decreased if used more than 10 days. For instance HIV patients may need long term treatment then interrupted treatment guided by response of candidiasis may be the way to go. ...Read moreSee 1 more doctor answer
Is it safe to receive 6 rabies vaccinations within a month? Completed primary 4 shot series, now being given 2 more boosters for secondary bat exposure shortly after primary series finished, per this facilities infectious disease dr. recommendation.
Shots: You're seeing an infectious disease specialist, someone with years of specialty training beyond a Medical School. Why would you seek opinion on this site from a urologist or an Orthodontist or a GP? If you do not have trust in your Specialists training and experience, seek 2nd opinion from a different infectious disease specialist. ...Read moreSee 2 more doctor answers
Diet/Exercise: Tb was common many years ago until hygiene, diet and housing became better. Prophylactic treatment is appropriate diet using "god-made" food, open air exercise and adequate rest. Notice that TB is returning because of a lapse in good health tactics including becoming "couch potatoes" and our extremely poor diet filled with empty calories. ...Read moreSee 1 more doctor answer
Is it true that antibiotic prophylaxis is needed for dental procedures for people with prior rheumatic heart disease?
Levofloxacin: Levaquin (levofloxacin) at 500mg a day is a ok dosage for urinary tract infection. however, i usually dose it at 750mg. The only time i reduce the dosage if the GFR (glomerular filtration rate) of your kidneys is lower. If you say kidney infection "this implies pylonephritis" and if this is the case your antibiotic dosage is not enough. ...Read more
Can the Hepatitis B vaccine alone (first shot for an unvaccinated person), given 48 hours post-exposure, prevent infection?
Not likely: If you have been definitively exposed to Hep B then will need HBIG/hep B immune globulin as well as the hep B vaccine. The immune globulin will act like a sponge and soak up any hep B virus present currently in your body. The hep B vaccine then stimulates your body to produce antibodies, which will then attach to and disable the viral particles. This process takes 2-4 weeks to make antibodies. ...Read more
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