Treatment of acute otitis media in patients with a reported penicillin allergy.
Otitis media occurs commonly in children, and is usually treated with an antibiotic. In this case report, amoxicillin was prescribed for a 6-year-old boy suffering from acute otitis media. As he had previously experienced a rash after the administration of a penicillin, the medication order was swit...
| Publicado en: | Journal of Clinical Pharmacy & Therapeutics Vol. 25; no. 3; pp. 161 - 165 |
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| Autores principales: | , |
| Formato: | case study Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2000
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106835967&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106835967 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02694727 EV4 jtl: Journal of Clinical Pharmacy & Therapeutics issn: 02694727 maglogo: Y pubinfo: dt: Jun2000 vid: 25 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106835967 2003069633 10.1046/j.1365-2710.2000.00268.x NLM10886460 106835967 ppf: 161 ppct: 4 formats: fmt: @attributes: type: P tig: atl: Treatment of acute otitis media in patients with a reported penicillin allergy. aug: au: Falconer CL Gardner DM sug: subj: Drug Hypersensitivity Prevention and Control Otitis Media Drug Therapy Trimethoprim-Sulfamethoxazole Combination Therapeutic Use Acute Disease Child Clinical Trials Male Penicillins Adverse Effects Penicillins Therapeutic Use Trimethoprim-Sulfamethoxazole Combination Adverse Effects Child: 6-12 years Male ab: Otitis media occurs commonly in children, and is usually treated with an antibiotic. In this case report, amoxicillin was prescribed for a 6-year-old boy suffering from acute otitis media. As he had previously experienced a rash after the administration of a penicillin, the medication order was switched from amoxicillin to trimethoprim/sulfamethoxazole (TMP/SMX). In an effort to determine whether or not this intervention was appropriate, references were found using Medline, International Pharmaceutical Abstracts and the Cochrane Library. Issues to be addressed included the need for antibiotics in acute otitis media, the comparative efficacy and tolerability of antimicrobial agents and the reliability of reported penicillin allergies. Amoxicillin and TMP/SMX were found to be first-line agents in the treatment of acute otitis media owing to their efficacy, safety and cost, with neither drug being significantly better than the other. The need to treat otitis media with antibiotics remains controversial. Reported penicillin allergies were found to be an unreliable indicator of a potentially serious reaction. In conclusion, it was found that treatment with TMP/SMX was an appropriate intervention. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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