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Therapeutic interventions are not designed to cure or prevent illness but may reduce the chance of future illness. When an empiric treatment fails on a particular course of antibiotic medication, a second course or a combination of antibiotic and therapy is instituted and continued unless the illness is cured. (Medroxyprogesterone acetate (MePeg) is a first-line antibiotic given daily during pregnancy and the treatment of bacterial vaginosis is recommended for people with persistent vulvovaginitis.)
Vaccines
Most vaccines protect against particular diseases or conditions. However, a small number of vaccines contain potentially deleterious substances, which may cause serious adverse effects. (See discussion of adverse reactions to vaccines.)
Antibiotic therapy should be continued for at least six months. Antibiotics are generally used for the prevention or treatment of most disease, particularly tuberculosis and a wide variety of infections. For both infectious diseases (diseases caused by bacteria), and diseases that involve the immune system, such as streptococcal and methicillin-resistant staphylococcus aureus, antimicrobial therapy can have a beneficial effect on the patient’s overall health. (Metronidazole is generally safe to use in children under 12 years old).
Although antibiotic use remains a major public health concern, research is limited in this area to specific drugs, such as cephalosporins and carbapenems, and studies have shown that these agents are generally not harmful to human health.
The United States currently uses about 6.3 billion pounds (3.2 billion kilograms) of antibiotics annually. Antibiotics are used for treatment of many different bacterial (and bacterial viruses and gram-positive) infections and are useful in combating some kinds of skin infections, such as moles. They are used to prevent and even treat foodborne infections.
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Antibiotic use by the U.S. population is increasing rapidly. In 2003, the U.S. had more than 40 antibiotics prescribed for each 10,000 people. Over the past decade, use of antibiotics for skin disorders, such as eczema, skin rashes, and pimps, has jumped 90 percent. In 1999, there were fewer than 700,000 antimicrobial treatment applications in the United States. In 2003, there were 841 million prescriptions for these agents.
Most antibiotics prescribed in the United States are used for the treatment of urinary tract infections as a primary mode of therapy. However, others are now being used to treat certain types of ear, nose, and throat infections, in conjunction with antibiotic monotherapy. Antiviral antibiotics can be a better choice because they do not induce an allergic reaction in the human immune system. A single dose of one of these agents, for example, can be administered for several weeks, and an ongoing regimen of treatment might not be necessary; long-term treatment of a patient who develops an ear infection might be considered. The efficacy of these agents is limited to a few diseases in which antibiotics have good results (e.g., the treatment of pneumonia), and these include most ear and nose-related infections. Treatment and prevention of other types of ear and This is particularly common in children and is usually recommended by health care practitioners. Antibiotics may be given to alleviate symptoms caused by a bacterial skin infection. The initial dose is usually given within 5–6 hours to reduce adverse effects. An empiric treatment should be initiated within 30 hours of the clinical presentation and should be continued for several weeks. After several weeks the initial dose is reduced, with the goal of reducing symptoms for at least 90 minutes. The empiric treatment is repeated by administration of a booster dose within a given period of time. The booster dose typically consists of a dose of 1, 2, or 3 tablets in one hour. Most antibiotics are absorbed rapidly via the gut. To ensure rapid effects, several different methods of administration are recommended. A first-line antibiotic therapy is the oral administration of either the active pharmaceutical agent (e.g., fluoroquinolones) or the drug containing tablet containing active antibiotic (e.g., ceftriaxone). The drug tablet may contain either fluoroquinolones (e.g., piperacillin-sulbactam), gentamicin, or tetracyclines. Antibiotics also may be orally administered intravenously (e.g., gavage), and are taken intravenously after the patient has been symptom-free for at least 7 days or has been observed with complete resolution. If a first-line antimicrobial agent is used, then the patient receives it 2–3 hours following the time of symptom onset. For patients with the common cold, antibiotics are usually given at different times, at least 4 hours apart in the 2 hour window between clinical and laboratory appearance of the upper respiratory tract symptoms to which they relate. Once the first-line therapy is started, repeated doses of the antibiotic may be administered in successive months. In patients with mild to moderate bacterial infections that occur before clinical symptoms develop, an antibiotic dose of at least 5 mg is administered once daily and repeated doses may be given over a 5–6-week period. A second-line antimicrobial treatment may include combination therapy with atrazine. Antibiotics which inhibit the growth of microorganisms and may act on fungi (e.g., penicillin, amoxicillin, tetracycline) can be combined with an atrazine-containing tablet containing a broad-spectrum antibiotic of the combination of tetracycline and amoxicillin. All combination drugs (as with the first-line regimen) are given intravenously. Other antibiotics including The pathogen is usually identified by an antibody response and is eventually killed. However, if an infection is to be treated with antibiotics, the pathogen must be isolated as a result of tests such as culture and/or electrophoresis. The pathogen may then be destroyed and the organism isolated from infected tissue to be re-examined for pathogenicity. Antivirals are the first-line antimicrobials against the most common pathogen, viruses, which are common in the body. Anti-infective drug therapies, which include antibiotics, antihistamines and corticosteroids, are usually employed in severe illnesses when only a small number of patients require treatment. This approach often produces short-term remission and is rarely followed up in a more complicated illness. The most effective antibiotic for treating strep throat are cephalosporins and are effective in the management of severe infections and during short courses of antibiotics. Other effective antiviral agents include vancomycin and tigecycline.