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Infections in cystic fibrosis are often due to Staphylococcus aureus, Haemophilus influenzae or Pseudomonas aeruginosa. Infecting organisms need to be identified so that the most appropriate antibiotics can be used. Antibiotics used to treat respiratory infections in cystic fibrosis commonly include ciprofloxacin, erythromycin, flucloxacillin and amoxicillin. However, specialist individual therapy is essential for maximum benefit to the patient and avoidance of the development of resistant strains of bacteria. General use of antibiotics and their mechanisms of action and adverse reactions are discussed in Chapter Pneumonia is inflammation of the lower parts of the lungs with accumulation of fluid in or around the alveoli.
Do you think this patient would be suitable for supplementary prescribing with a clinical management plan and why. This is a patient who could be seen by any health care professional for different reasons. You are asked to discuss how you would answer general questions about the patients condition and treatment. You may find the British Thoracic Society Guidelines useful for this case study.
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Authored by Dr. Gregory Obara, MD