Ways to Reduce Allergies
Unfortunately more and more bacterial strains are becoming penicillin G-resistant (Bacteroides sp., Prevotella melaninogenica, etc.). This has led to changes in this long-standing regimen73-75. In present times more stable betalactams are being used, such as carboxypenicillins (ticarcilline), ureidopenicillins (piperacilline) . Alternatively penicillin G is being combined with imidazole derivatives (metronidazole, ornidazole). Cephalosporins - with the exception of cephamycin - are usually much less effective than penicillin. Rifampicin, chloramphenicol, macrolides (erythromycine) or clindamycine can be used on patients with an allergy to penicillin. Clindamycin is very often recommended by North american authors because of its anti-toxin activity76,77 but may be poorly tolerated and resistance is increasing so that its use has greatly decreased in Europe. Often
51 Ways to Reduce Allergies
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