Guest guest Posted January 6, 2008 Report Share Posted January 6, 2008 I have doing some research on Doxycycline. That was the drug was on and has now had a break through infection on. If I am understanding the literature from Medscape correctly, and several other sources. doxycline is not the drug of choice to use against streptococcus pneumonia. From what I can gather it is saying that it is resistant to it. " many isolates of S.pneumonia are resistant to doxycylcine " " rarely used unless other infectives are inappropriate and only used if it has been shown to be effective agains the specific organisim. " 44% of strains of streptoccous pyogenes are resistant to doxycycline. 74% of strains of streptoccoccus faecalis are resistant to doxycycline. Not sure what a pyogenes is or a faecalis is. I love Dr. P, he has kept her well for 8 years and made to initial diagnosis when nobody else had. But, I think he may have messed up with this one or he got some bad information from the Emory pharmacology division on this. I think we need to go back on the Amoxcillin. Do you know if there is any danger to being on a tetracycline for the acne and the Amoxcillin for the prophalasix for the immune system? Jerri --------------------------------- Looking for last minute shopping deals? Find them fast with Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2008 Report Share Posted January 6, 2008 I would go back on the Amoxicillin get stabilized and then go back on the Dox if indicated. But your priority is for her general health is good and secondarily her acne. Also there are other choices for the acne that may work just as well as an antibiotic since she is already on one and is having continued problems. BARBIE Doxycycline etc... Ursula I have doing some research on Doxycycline. That was the drug was on and has now had a break through infection on. If I am understanding the literature from Medscape correctly, and several other sources. doxycline is not the drug of choice to use against streptococcus pneumonia. From what I can gather it is saying that it is resistant to it. " many isolates of S.pneumonia are resistant to doxycylcine " " rarely used unless other infectives are inappropriate and only used if it has been shown to be effective agains the specific organisim. " 44% of strains of streptoccous pyogenes are resistant to doxycycline. 74% of strains of streptoccoccus faecalis are resistant to doxycycline. Not sure what a pyogenes is or a faecalis is. I love Dr. P, he has kept her well for 8 years and made to initial diagnosis when nobody else had. But, I think he may have messed up with this one or he got some bad information from the Emory pharmacology division on this. I think we need to go back on the Amoxcillin. Do you know if there is any danger to being on a tetracycline for the acne and the Amoxcillin for the prophalasix for the immune system? Jerri ------------ --------- --------- --- Looking for last minute shopping deals? Find them fast with Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2008 Report Share Posted January 6, 2008 I think we are going to have to have a serious talk with the immunologist. I think we are also going to switch dermatologist. We were going to one closer to home. I think I am going to ask for a referral to a dermatologist who is also affiliated with Emory/Egleston. Barbara Jimenez <mother5590@...> wrote: I would go back on the Amoxicillin get stabilized and then go back on the Dox if indicated. But your priority is for her general health is good and secondarily her acne. Also there are other choices for the acne that may work just as well as an antibiotic since she is already on one and is having continued problems. BARBIE Doxycycline etc... Ursula I have doing some research on Doxycycline. That was the drug was on and has now had a break through infection on. If I am understanding the literature from Medscape correctly, and several other sources. doxycline is not the drug of choice to use against streptococcus pneumonia. From what I can gather it is saying that it is resistant to it. " many isolates of S.pneumonia are resistant to doxycylcine " " rarely used unless other infectives are inappropriate and only used if it has been shown to be effective agains the specific organisim. " 44% of strains of streptoccous pyogenes are resistant to doxycycline. 74% of strains of streptoccoccus faecalis are resistant to doxycycline. Not sure what a pyogenes is or a faecalis is. I love Dr. P, he has kept her well for 8 years and made to initial diagnosis when nobody else had. But, I think he may have messed up with this one or he got some bad information from the Emory pharmacology division on this. I think we need to go back on the Amoxcillin. Do you know if there is any danger to being on a tetracycline for the acne and the Amoxcillin for the prophalasix for the immune system? Jerri ------------ --------- --------- --- Looking for last minute shopping deals? Find them fast with Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2008 Report Share Posted January 6, 2008 Sounds like you are on the right track. It is so hard with our kids to know what to do . If the Amoxicillin worked for her I sure would not go to Gammaglobulin. One thing I would check on is if they did a culture what the sensitivities were. then you will know if the Amoxcillin would have taken care of it or if it would have been resistant to it as well. That gives you some good information as you move forward. BARBIE Doxycycline etc... Ursula I have doing some research on Doxycycline. That was the drug was on and has now had a break through infection on. If I am understanding the literature from Medscape correctly, and several other sources. doxycline is not the drug of choice to use against streptococcus pneumonia. From what I can gather it is saying that it is resistant to it. " many isolates of S.pneumonia are resistant to doxycylcine " " rarely used unless other infectives are inappropriate and only used if it has been shown to be effective agains the specific organisim. " 44% of strains of streptoccous pyogenes are resistant to doxycycline. 74% of strains of streptoccoccus faecalis are resistant to doxycycline. Not sure what a pyogenes is or a faecalis is. I love Dr. P, he has kept her well for 8 years and made to initial diagnosis when nobody else had. But, I think he may have messed up with this one or he got some bad information from the Emory pharmacology division on this. I think we need to go back on the Amoxcillin. Do you know if there is any danger to being on a tetracycline for the acne and the Amoxcillin for the prophalasix for the immune system? Jerri ------------ --------- --------- --- Looking for last minute shopping deals? Find them fast with Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2008 Report Share Posted January 6, 2008 I have some of the blood work back, and took it with me. Some are still pending the immune system panels the drew are still pending. Anyway, this is what I have that might lend a clue: Gram Stain: Source: sputum >25 White cells/low power field no squamous Many gram positive cocci in pairs and chains organism 1 streptococcus pneumoniae heavy growth sensitivities to follow (I have not rec any of the sen. to follow info) The two blood cultures came back as: No Growth After 48 Hours Will hold for 3 more days Her white blood count of course was real high, and neutrophils were high, segs were high. The rest of blood work and the urine analysis were all normal range. I am going to call back to ton hospital on Tues morning to see if any of the pending blood work is back and if so get them to fax it on over to Emory before our Wed. appt. Barbara Jimenez <mother5590@...> wrote: Sounds like you are on the right track. It is so hard with our kids to know what to do . If the Amoxicillin worked for her I sure would not go to Gammaglobulin. One thing I would check on is if they did a culture what the sensitivities were. then you will know if the Amoxcillin would have taken care of it or if it would have been resistant to it as well. That gives you some good information as you move forward. BARBIE Doxycycline etc... Ursula I have doing some research on Doxycycline. That was the drug was on and has now had a break through infection on. If I am understanding the literature from Medscape correctly, and several other sources. doxycline is not the drug of choice to use against streptococcus pneumonia. From what I can gather it is saying that it is resistant to it. " many isolates of S.pneumonia are resistant to doxycylcine " " rarely used unless other infectives are inappropriate and only used if it has been shown to be effective agains the specific organisim. " 44% of strains of streptoccous pyogenes are resistant to doxycycline. 74% of strains of streptoccoccus faecalis are resistant to doxycycline. Not sure what a pyogenes is or a faecalis is. I love Dr. P, he has kept her well for 8 years and made to initial diagnosis when nobody else had. But, I think he may have messed up with this one or he got some bad information from the Emory pharmacology division on this. I think we need to go back on the Amoxcillin. Do you know if there is any danger to being on a tetracycline for the acne and the Amoxcillin for the prophalasix for the immune system? Jerri ------------ --------- --------- --- Looking for last minute shopping deals? Find them fast with Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2008 Report Share Posted January 6, 2008 The sensitivities generally are read at 24 hours and again at three days with the cultures so they will be back they will be good info for you. BARBIE Doxycycline etc... Ursula I have doing some research on Doxycycline. That was the drug was on and has now had a break through infection on. If I am understanding the literature from Medscape correctly, and several other sources. doxycline is not the drug of choice to use against streptococcus pneumonia. From what I can gather it is saying that it is resistant to it. " many isolates of S.pneumonia are resistant to doxycylcine " " rarely used unless other infectives are inappropriate and only used if it has been shown to be effective agains the specific organisim. " 44% of strains of streptoccous pyogenes are resistant to doxycycline. 74% of strains of streptoccoccus faecalis are resistant to doxycycline. Not sure what a pyogenes is or a faecalis is. I love Dr. P, he has kept her well for 8 years and made to initial diagnosis when nobody else had. But, I think he may have messed up with this one or he got some bad information from the Emory pharmacology division on this. I think we need to go back on the Amoxcillin. Do you know if there is any danger to being on a tetracycline for the acne and the Amoxcillin for the prophalasix for the immune system? Jerri ------------ --------- --------- --- Looking for last minute shopping deals? Find them fast with Search. Quote Link to comment Share on other sites More sharing options...
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