Myra, I did not mean to make you a snack. (My mother-in-law made some no-bake cookies; I'll stick to those!) I am not attacking your kennel practices; you are within your rights to make the minimum requirement of 5 days of antibiotics to protect your stud dog -- people have the option of not breeding to him if they don't agree. But when you make an erroneous public statement that "The ideal would be to prescribe an antibiotic that doesn't require a 14 days administration, and there are such antibiotics now", I feel obligated to correct it, for the sake of any newbie owners (and their bitches) that may be on the list. There is no way to softpedal this: the statement is just plain wrong.
The 1997 Report on Infectious Diseases to the American Academy of Pediatrics recommended antibiotics until at least 48 hours of clinical improvement, FOLLOWED BY a minimum of 14 days of oral antibiotic therapy for Pelvic Inflammatory Disease (infection of the uterus or fallopian tubes with gonorrhea, chlamydia, gardnerella, strep, E Coli, ureaplasma or mycoplasma). In canine bitches known to have uterine infections, "At the next proestrus, obtain a specimen of the anterior vagina for bacterial culture using a guarde culture swab. Treat the bitch with an appropriate antibiotic for three weeks. Breed in that season" (Tilley, Larry Patrick, and Smith, Francis WK The 5 Minute Veterinary Consult. Williams and Wilkins 1997) I enjoy reading your posts, Myra, because they cause me to see possibilities I hadn't previously considered. Sometimes I agree, sometimes I don't, and sometimes I learn something new. We all learn from disagreements. The trick is not to take them personally. Leanne ----- Original Message ----- From: Leanne Bertani <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Thursday, December 20, 2001 10:46 AM Subject: Re: [CKCS-L] Responses to stud dog survey > As a medical doctor, I have commonly treated sinusitis for 14 days, and > given a refill to boot. In some cavities in the body, such as the sinuses, > antibiotics take longer to make their way to the source of infection. > Another example of routine prolonged therapy would be that for Lyme Disease. > Shorter courses only tend to make the bacteria more resistant, because the > harder-to-kill bacteria are the ones that remain to multiply. Giving a 10 > day course of therapy for Lyme Disease is malpractice. I won't comment on > mycoplasma in the uterus, since we have an ob-gyn on the list -- she can > fill us in when she gets a chance. > > By the way, it makes no difference that Zithromax only has to be > administered for five days (3 in dogs). The antibiotic is present in the > body for a longer time, the ultimate effect is the same. > > Leanne > > ----- Original Message ----- > From: Myra Savant <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Sent: Thursday, December 20, 2001 10:42 AM > Subject: Re: [CKCS-L] Responses to stud dog survey > > > > Well, actually, being a human Registered Nurse, I'll stick by my original > > statement. I have administered antibiotics of many kinds, for many > > situations, for many, many years. But I do not know of one whose dosage > is > > regularly administered for 14 days. Ten, yes. Seven yes. Five yes, and > on > > some occasions three daily injectables. There may be occasions where one > > would routinely be prescribed for 14 days, but I don't know of any off > hand. > > IV antibiotics run the gamut, but I am assuming we are still talking PO > > meds here. The ideal would be to prescribe an antibiotic that doesn't > > require a 14 days administration, and there are such antibiotics now > > available. Myra Savant > > > > > > >From: Claudia Jones <[EMAIL PROTECTED]> > > >Reply-To: The Cavalier King Charles Spaniel List > > ><[EMAIL PROTECTED]> > > >To: [EMAIL PROTECTED] > > >Subject: Re: [CKCS-L] Responses to stud dog survey > > >Date: Thu, 20 Dec 2001 06:46:34 EST > > > > > >In a message dated 12/19/01 9:19:47 PM Eastern Standard Time, > > >[EMAIL PROTECTED] writes: > > > > > > > > > > . I don't > > > > know of, and have never administered an antibiotic that routinely > > >required > > > > dosing for 14 days. ========================================================= "Magic Commands": to stop receiving mail for awhile, click here and send the email: mailto:[EMAIL PROTECTED]?body=SET%20CKCS-L%20NOMAIL to start it up gain click here: mailto:[EMAIL PROTECTED]?body=SET%20CKCS-L%20MAIL E-mail [EMAIL PROTECTED] for assistance. Search the Archives... http://apple.ease.lsoft.com/archives/ckcs-l.html All e-mail sent through CKCS-L is Copyright 1999 by its original author.
