Comments on the dilemma in the June issue: Resisting the urge to prescribe vancomycin
2017
McCulloch, Steven
In the dilemma discussed in the May issue of In Practice, you are treating a dog with pyoderma, which has had poor clinical results follow a week of topical antibiotics. You test and find meticillin‐resistance Staphylococcus pseudintermedius. You prescribe oral doxycycline but the client asks why vancomycin has not been prescribed (IP, June 2017, vol 39, pp 294‐295). Manuel Magalhães‐Sant’Ana argues that relying on third tier antibiotics is strongly discouraged. While one can be tempted to appease the client, the vet has a moral duty not to. Depending on results from sensitivity tests, it may be that first or second tier antibiotics can resolve the pyoderma.
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