Pong-tai is a 12-month-old child who is being treat with amoxicillin for acute otitis media. His parents call the clinic and say he has developed diarrhea. The appropriate action would be to:
Advise the parents that some diarrhea is normal with amoxicillin and recommend probiotics daily.
Change the antibiotic to one that is less of a gastrointestinal irritant.
Order stool cultures for suspected viral pathogens not treated by the amoxicillin.
Recommend increased fluids and fiber in his diet.
To prevent further development of antibacterial resistance it is recommend that fluoroquinolones be reserved for treatment of:
Treatment for suspected gonorrhea is:
Ceftriaxone 250 mg IM x 1
Ceftriaxone 2 grams IM x 1
Ciprofloxacin 500 mg PO x 1
Doxycycline 100 mg bid x 7 days