INFECTIOUS DISEASE
ANTIBIOTICS
PromptDisadvantages of unnecessary antibiotic prescription
ResponseAdverse effects of antibiotics (including allergy)
Drug interaction eg: warfarin
Increased antimicrobial resistance
C.Diff diarrhoea
Alteration of urinary microbiome resulting in promotion of UTI
Cost
Drug interaction eg: warfarin
Increased antimicrobial resistance
C.Diff diarrhoea
Alteration of urinary microbiome resulting in promotion of UTI
Cost
PromptPharmacodynamics of Probenecid
ResponseDecreases renal excretion of drugs that undergo active tubular secretion (weak acids and B-lactam antibiotics)
Pharmacokinetic principal - longer period where drug concentration stays above MIC (Minimum inhibitory concentration)
Pharmacokinetic principal - longer period where drug concentration stays above MIC (Minimum inhibitory concentration)
PromptPharmacodynamics of Clavulanic acid
ResponseInhibitor of bacterial beta lactamases and protect hydrolysable penicillins from inactivation. Weak antibiotic effect in own right. Do not alter the antibacterial spectrum of the parent antibiotics.