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Macrolides, Azalides, and KetolidesJeffrey Austin is a 22 yr old male college student. He has a temperature of 101F, severe nasal congestion, and pain in the front sinuses upon palpation.
Upon assessment of Mr. Austin’s symptoms, his sinus pressure and congestion accompanied with fever indicate an infection of the respiratory system and/or sinusitis (Center for Disease Control and Prevention, 2017). His tenderness to palpation of his sinuses indicates inflammation and fluid and/or mucus causing congestion. His ears were viewed with an otoscope and no inflammation or drainage was detected. He complains of his inability to clear his nasal congestion and intermittent sore throat related to post-nasal drip from excess mucus and fluid. Typical diagnostic testing may include a chest x-ray to view any lung changes and infiltrate, an oral strep swab or throat culture to rule out streptococcal pharyngitis, and an nasal influenza swab to detect influenza virus (Center for Disease Control and Prevention, 2017).Macrolides, azalides, and ketolides are antibiotics that are active against some gram-positive bacteria, some gram-negative bacteria, and some atypical bacteria (Hauser, 2013). Macrolides are typically useful with respiratory infections, though some individuals may be resistant (Hauser, 2013). Prior to prescribing any antibiotic medication, the patient’s drug and food allergy history should be obtained, diagnostic testing and assessment should rule out viral infections, and potential benefit should be discussed
QUESTIONWhat patient teaching will you provide?
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