E-DRUG: Re: Antibiotic prescribing (4)

E-drug: Re: Antibiotic prescribing (4)
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I like to give erythromycin 8 hourly in an acute Asthma attack [moderator:
antibiotics in acute asthma attack? We would only use it for exacerbations
of chronic obstructive lung disease. And not erythromycin] but
give it 6 hourly in STD because that is what the STD protocol requires
(in pregnant and lactating women, else doxycycline) for ten days.

Having worked in an emergency department for over 16 years I agree that
routine use of any antibiotic in an acute asthma attack is not warranted.
For pregnant women with cervicitis amoxicillin can also be used for
chlamydial infections. (Alary M, Joly JR, Moutquin JM, Mondor M, Coucher
M, Fortier A, et al. Randomised comparison of amoxycillin and erythromycin
in treatment of genital chlamydial infection in pregnancy. Lancet
1994;344:1461-5.)

Joel Lexchin

Joel Lexchin MD
121 Walmer Rd.
Toronto, Ontario
CANADA M5R 2X8
Phone: (416)-964-7186
Fax: (416)-923-9515
e mail: joel.lexchin@utoronto.ca

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