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  5. chestor New Member

    The American Academy of Orthopedic Surgeons (AAOS) has historically recommended antibiotic premedication in select patients with hip or knee implants undergoing medical or dental procedures that produce bacteremia. These individuals are usually immunocompromised and the standard antibiotic of choice is amoxicillin. In penicillin-allergic patients, clindamycin has historically been the recommended optional drug because it is believed to have little or no cross-allergenicity with penicillin. It has always been accepted that cephalosporins had significant enough incidence of cross-allergenicity with penicillin to warrant the recommendation of clindamycin instead of a cephalosporin in those individuals. More recently, however, the AAOS is now recommending a cephalosporin rather than clindamycin in penicillin-allergic patients. This is based on new criteria referred to as “appropriate use criteria” (AUC). AUC are provided to indicate when it may be appropriate to consider antibiotic administration prior to dental procedures and to recommend which antibiotic to use in patients with joint replacements. Guidance on Antibiotic Choice for Patients with Penicillin. A Look at Antibiotics to Treat Pneumonia - Pharmacy Times AZITHROMYCIN Drug BNF content published by NICE
     
  6. Luke Well-Known Member

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  7. girafik User

    Prednisone and Breastfeeding Avoiding breastfeeding for at least 4- 6 hours after prednisone intake. This is because the prednisone diffusion in breast milk is bidirectional and fairly rapid. Monitoring the baby for signs of adrenal insufficiency, such as infections, oral thrush or viral illnesses.

    Prednisone - Drugs and Lactation Database LactMed - NCBI Bookshelf