Doctor insights on:
Drug Resistant Syphilis
How could a multi-drug resistant (including ceftriaxone resistant) strains of n. gonorrhea be treated?
Gonnorrhoea: There are increasingly resistant strains of Gonorrhoea reported in many part of the world, including in the U.S. As such, combination therapy is advised for most cases. If resistant to Ceftriaxone, there are alternative choices, but this is best discussed with your provider or an infectious disease specialist. ...Read more
Yes: The HIV mutates frequently, and when a mutation produces resistance to protease inhibitors this will allow that form of the virus to multiply over other forms which are sensitive. That is one of the reasons for a drug combination which makes single mutational changes less likely to be favorable to the virus. ...Read more
Not: Permanent but highly resistant. Permanence of sorts ...Read more
Are penicillins effective against gram-positive bacteria? Can't take sulfa, fluoroquinolones, or cephalosporins.
Penicillin are ok.: Penicillins are effective against gram + organism(G+), however you will need a culture to properly identify the bacteria.there is different type of penicillin base antibiotics and they can treat a variety of infections caused by(G+), such as otitis, pharyngitis, skin infection, etc. Again it will depend on the type of infection as well as the organism you are treating. Can also use tetracycline. ...Read more
Clindamycin: There is no single best drug effective for every staph infection in every patient. Clindamycin is usually effective, but not in every case. Some penicillins sometimes work, vancomycin usually works. There are other choices, but the bottom line is that the drug selected should be selected based on the use of culture and sensitivity reports. ...Read more
Not really: For MRSA there is therapy to try and change your nasal and skin carriage states. For gut flora the use of unpasteurized yogurt or probiotics may reduce the relative numbers of unwanted bacteria, but there are no recommendations for antibiotic prophylaxis and this should be strongly discouraged as it is likely to worsen things. ...Read more
That depends: Azt (zidovudine) ishas a lot of side effects and toxicity, which is why it's less often used in the U.S. And other resource-rich countries these days. The more commonly used drugs in this class (the nucleoside analog reverse transcriptase inhibitors, or nrtis) are tenofovir, abacavir, lamivudine, and emtricitabine. These drugs are safer, more convenient, and more potent. ...Read more
Maybe: There are different types of chlamydia. A type called chlamydia pneumoniae has been found to infect neural tissue and joints. But i suspect you're asking about chlamydia trachomatis which hasn't been reported to infect the heart or brain. Although it does commonly cause eye infections that can lead to blindness. The question of resistance is tricky since there is a very high reinfection rate. ...Read more
Difficult to know: Without knowing the extent of damage done by the infection it is difficult. But if the infection was actually cured, then rehab is always beneficial, but to what degree depends upon what took place. ...Read more
No: It should not.Get a more detailed answer ›
Yes: First off, many stds are viral and thus have no antibiotic treatment options that make the infection go away. Also, there are more and more data to show high resistant strains of chlamydia, gonorrhea and even syphilis. This is y becoming a very scary problem and sure to only get more worrisome. Be careful and protect yourself! ...Read moreSee 1 more doctor answer