RE: Cultures and antibiotics

January 2, 2009

Hi ,

Mostly I’ve been treated with Levaquin. I can go two or

three months without an infection, but before I got the biliary tube it was

much worse. My GI guy had me on Levaquin one week a month, and it got to the

point where that didn’t hold me for a whole month. I think my bugs were

getting resistant. Last time I went to the hospital they switched me to Cipro.

A culture would be a bit difficult though. Since they did the

Roux-en-Y and made me a new common bile duct, they can’t get a scope up

there for an ERCP, and the infections are up high in my liver.

Nita

From:

[mailto: ] On Behalf

Of

Sent: Thursday, January 01, 2009 6:38 PM

To:

Subject: Re: Nita - infections without jaundice

Darcy and Nita,

I've had some cholangitis attacks in the last two years and

successfully treated them with Cipro and Flagyl or Amoxicillan. My GI

just told me that in my ERCP last year they cultured bacteria in my

bile ducts that are now resistant to Cipro and should be treated with

Bactrim and Augmentin. I wonder if people get chronic cholangitis

attacks is because the bacteria that is infecting them is resistent to

Cipro or whatever the doctor is prescribing? I wonder if an ERCP

including a bacteria culture might help your doctor select a more

effective antibiotic?

(Sacramento) dx PSC and US 2001.

>

> Nita,

>

> I have recurrent cholangitis and had to be put on daily antibiotics

in an attempt to control the infections. Prior to the daily

antibiotics, I would be on a course of antibiotics for 10 days and

within a week of stopping the infection would return in full force.

>

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