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					Ospital ng Maynila Medical Center DEPARTMENT OF PEDIATRICS Quirino Avenue corner Roxas Boulevard Malate, Manila

Patient’s Name: DORADO, Baby Girl Address: 1641 P. Benito Street, Brgy. Kasilanan, Makati City Age/Sex: NB/F Date Admitted: June 15, 2008 Admitting Diagnosis: T/C Sepsis neonatorum, early onset Clavicular fracture Physician–in-charge: Dr.Nunez/Villa/Manalo Clerk-in-charge: Florentino/Kalalo/Lingao/Liwag/Lopez

Hospital No. 640625

DRUG INDEX

DRUG Gentamicin

MOA binds to 30s and 50s ribosomal subunits of susceptible bacteria disrupting protein synthesis, thus rendering the bacterial cell membrane defective

INDICATION Treatment of infections due to susceptible organisms: UTI, resp tract infections, meningitis, peritonitis, infected surgical wounds, severe soft tissue infections including burns complicated by sepsis.

CI History of hypersensitivity to aminoglycoside; pregnancy; hepatic impairment, perforated ear drum.

ADR Dizziness or vertigo; acute renal failure, interstitial nephritis, acute tubular necrosis; electrolyte imbalances; transient elevation of serum bilirubin and aminotransferases; purpura; nausea, vomiting; convulsions, mental depression, hallucinations. Atrophy or rat necrosis at inj sites. GI upset, nausea, vomiting, diarrhoea; blood dyscrasias; urticaria, exfoliative dermatitis, rash; fever, seizures; interstitial nephritis.

DI Synergistic with ampicillin, benzylpenicillin and other blactam antibiotics. Increased risk of severe respiratory depression when used concurrently with anaesthetics or opioids. May reduce renal clearance of zalcitabine and induce hypocalcaemia when used with biphosphonates. Not to be used with agalsidase alfa or beta as it may inhibit a-galactosidase activity. Simultaneous use with oral contraceptives may lead to increased risk of breakthrough bleeding and reduced efficacy of the contraceptive. Skin rash increased with allopurinol. Probenecid increases blood levels. Synergism with blactamase inhibitors, clavulanic acid or sulbactam, penicillinasestable drugs eg, cloxacillin or flucloxacillin and aminoglycosides.

PREP

Ampicillin

exerts bactericidal action on both gm+ve and gm-ve organisms. Its spectrum includes gm+ve organisms eg, S pneumoniae and other Streptococci, L monocytogenes and gm-ve bacteria eg, M catarrhalis, N gonorrhoea, N meningitidis, E coli, P mirabilis, Salmonella, Shigella, and H influenzae. Ampicillin exerts its action by inhibiting the synthesis of bacterial cell wall.

Hypersensitivity; infectious mononucleosis.

Vial: 500 mg, 250 mg


				
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