Hi
I had a funny one today. A woman brought a child (about 5) in, and gave me a script for flucloxacillin 125mg/5ml 5mls tds 150mls.
Obviously its usually 5mls qds, and as I had to use a 2nd bottle it didn't make sense to not give the full qds dose, and two full bottles (10 day course). She told me she was worried, as her child had the same infection two weeks ago, and it had returned. When I checked the computer he had also had fluclox 5mls tds 150mls then. The infection was an infected sore on the boys penis, and didn't sound very nice for the poor kid.
Does anyone think that the child was under-dosed and that caused the infection to return? He was also prescribed a 10 day course then, i.e. the same 150mls.
I rang the surgery, and the Dr agreed to change it to qds and give the child the full 200mls. I also explained to his mum about taking it on an empty stomach to improve blood levels, and hopefully cure it this time. I must admit though, that if the bacteria had a taste of fluclox 2 weeks ago, survived, and re-colonised this little boys infection I don't hold out great hope that this will actually cure it.
Any thoughts? I would have prescribed a different drug personally.
I had a funny one today. A woman brought a child (about 5) in, and gave me a script for flucloxacillin 125mg/5ml 5mls tds 150mls.
Obviously its usually 5mls qds, and as I had to use a 2nd bottle it didn't make sense to not give the full qds dose, and two full bottles (10 day course). She told me she was worried, as her child had the same infection two weeks ago, and it had returned. When I checked the computer he had also had fluclox 5mls tds 150mls then. The infection was an infected sore on the boys penis, and didn't sound very nice for the poor kid.
Does anyone think that the child was under-dosed and that caused the infection to return? He was also prescribed a 10 day course then, i.e. the same 150mls.
I rang the surgery, and the Dr agreed to change it to qds and give the child the full 200mls. I also explained to his mum about taking it on an empty stomach to improve blood levels, and hopefully cure it this time. I must admit though, that if the bacteria had a taste of fluclox 2 weeks ago, survived, and re-colonised this little boys infection I don't hold out great hope that this will actually cure it.
Any thoughts? I would have prescribed a different drug personally.
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