would appreciate a recommendation an infectious disease specialist, pulmonologist, or et. al. to confirm why such tertiary antibiotic.
following up on this question of what antibiotic.
the pathogen has not yet been identified, however tests done were
Influenza A+B NAAT test (negative) Covid-19 NEAR test (negative) Streptococcus Group A test (negative), and gram positive sputum culture (normal flora). doc started my father on levoflaxin. This is considered a tertiary antibiotic by NHS, NIH, and NCID (Singapore) with amoxicillin considered first course of treatment. After 4 days just stable, no real improvement, and of course more weakness from the levoflaxin.
would appreciate a recommendation an infectious disease specialist, pulmonologist, or et. al. to confirm why such tertiary antibiotic.
are planning a procalcitonin and respiratory viral panel (not sure why they did not do this in the ER 5 days ago) when we can get to the hospital as we cannot get home service(!) here (still trying)
thus we are stuck on koh samui. we do not interact with locals (have doing best practices for 3 years--no indoor restaurants, bars, etc.) live in caregivers also do not interact with others without distances and masking. (this yes is unlike 99.9 percent of thailand). thus the microbial resistance may not been so important re location.
thanks.
re amoxicillin vs fluoroquinolones, note current guidelines from US NIH and UK NHS
https://www.nice.org.uk/guidance/ng138
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6812437/