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  1. #12
    BPnet Veteran patientz3ro's Avatar
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    Re: Has anybody ever used baytril in a nebulizer?

    Quote Originally Posted by kitedemon View Post
    So is penicillin, like baytril many bacterium are resistant to it. There is also fungal RI and viral RI (respiratory infection is a very loose term for a huge variety of individual disorders) Cultures are very valuable tools and the value should not be taken out of hand. Treating a fungal problem with anti bacterial drugs simply is a waste of time and effort. Causing stress and spending cash for absolutely no reason, it will never work.
    True... However, I never said that cultures are completely worthless. My point was that cultures are not the Holy Grail. The fact of the matter is that the VAST majority of respiratory infections are bacterial, and the VAST majority of those bacteria are not resistant to antibiotics. Granted, I work on people, not pets, but the basics are the same. 95% of the time, if a patient presents with what appears to be a bacterial infection (and most of them are, not just RI's) the prescribed treatment is a course of broad-spectrum antibiotics, AND we run a culture and sensitivity panel. More often than not, that first round kills the bug. Typically the results of the C&S are back in less than 24hrs, so if we discover it's NOT something that's going to respond to the antibiotic we started with, we can make changes as we need to. Regardless, it's better to begin a treatment as early as possible rather than twiddle our thumbs waiting for test results to come back. You also have to understand we're not just making these decisions on a whim. There are a LOT of factors that go into making a diagnosis, even a preliminary one. We're not just going to look at a patient and go, "Yep. He's got SOMETHING. Better get him started on Bactrim," There are tests that can be run in MINUTES that will rule out viruses and/or fungal infections. I can run a combined blood count in just a few minutes and tell you whether you have a bacterial or viral infection based on the number and type of white blood cells present in the specimen. So, are C&S panels valuable? Yes, they are. Can you effectively diagnose and treat an infection without one? Yes, you can.

  2. The Following 4 Users Say Thank You to patientz3ro For This Useful Post:

    200xth (12-10-2013),dav4 (12-01-2012),ewaldrep (12-03-2012)

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