Healthcare Traveler - July 2008 - (Page 41) Problem Rx Photo: Getty Images/Hill Creek Pictures Can antibiotic therapy induce colitis? A 51-year-old man is evaluated by his internal medicine physician for abdominal cramping, nausea, vomiting, and bloody loose stools. He has a recent history of severe acute bacterial sinusitis and has been taking amoxicillin-clavulanate (Augmentin) 500 mg PO every eight hours for five days. The patient states he was careful always to take the antibiotic with food. His BP was 82/50 and his heart rate was 148 bpm. He was febrile, pale, and diaphoretic. He was admitted to the hospital. Could the antibiotic have caused the GI disturbance? The patient had an MRI that documented colitis, a known complication of antibiotic therapy. Additionally,his white count was elevated (18,400).Fortunately, hemorrhage colitis secondary to receiving penicillin derivatives usually resolves spontaneously once the antibiotic is discontinued.The patient was discharged in stable condition and had a full recovery within two weeks of being off of amoxicillin-clavulanate. Högenauer, C., Langner, C., et al. (2006). Klebsiella oxytoca as a causative organism of antibiotic-associated hemorrhagic colitis. N Engl J Med, 355(23), 2418. Micromedex Healthcare Series. (2008). Greenwood Village, CO: Thomson. (Edition expires 2008). Q. A. Linda M. Porterfield, RN, PhD, is a clinical pharmacologist and director of cardiovascular research at Arrhythmia Consultants in Memphis. She works with her husband, James Porterfield, MD, FACC, who is a cardiologist and electrophysiologist. This department originally appeared in RN, a sister publication. For subscription information, call 800-284-8945 or visit www.rnweb.com. Circle Career Card No. 605 July 2008 Healthcare Traveler 41 http://www.bannerhealth.com http://www.bannerhealth.com http://www.rnweb.com
Table of Contents Feed for the Digital Edition of Healthcare Traveler - July 2008 Healthcare Traveler - July 2008 Editor's Desk Contents By the Numbers Paws for Thought In a Flash Field Notes California Love Affair Taking Your Home on the Road Drug Update Clinical Tips Cityscape Advertisers' Index Name It When In... Good for You Big Deals Tax Facts Going the Distance Contest Rules Starter's Kit Allied Corner Classifieds Tales from the Road Healthcare Traveler - July 2008 Healthcare Traveler - July 2008 - Healthcare Traveler - July 2008 (Page Cover1) Healthcare Traveler - July 2008 - Healthcare Traveler - July 2008 (Page Cover2) Healthcare Traveler - July 2008 - Editor's Desk (Page 1) Healthcare Traveler - July 2008 - Contents (Page 2) Healthcare Traveler - July 2008 - Contents (Page 3) Healthcare Traveler - July 2008 - Contents (Page 4) Healthcare Traveler - July 2008 - Contents (Page 5) Healthcare Traveler - July 2008 - By the Numbers (Page 6) Healthcare Traveler - July 2008 - By the Numbers (Page 7) Healthcare Traveler - July 2008 - Paws for Thought (Page 8) Healthcare Traveler - July 2008 - Paws for Thought (Page 9) Healthcare Traveler - July 2008 - Paws for Thought (Page 10) Healthcare Traveler - July 2008 - Paws for Thought (Page 11) Healthcare Traveler - July 2008 - In a Flash (Page 12) Healthcare Traveler - July 2008 - In a Flash (Page 13) Healthcare Traveler - July 2008 - Field Notes (Page 14) Healthcare Traveler - July 2008 - Field Notes (Page 15) Healthcare Traveler - July 2008 - Field Notes (Page 16) Healthcare Traveler - July 2008 - Field Notes (Page 17) Healthcare Traveler - July 2008 - California Love Affair (Page 18) Healthcare Traveler - July 2008 - California Love Affair (Page 19) Healthcare Traveler - July 2008 - California Love Affair (Page 20) Healthcare Traveler - July 2008 - California Love Affair (Page 21) Healthcare Traveler - July 2008 - California Love Affair (Page 22) Healthcare Traveler - July 2008 - California Love Affair (Page 23) Healthcare Traveler - July 2008 - California Love Affair (Page 24) Healthcare Traveler - July 2008 - California Love Affair (Page 25) Healthcare Traveler - July 2008 - California Love Affair (Page 26) Healthcare Traveler - July 2008 - California Love Affair (Page 27) Healthcare Traveler - July 2008 - Taking Your Home on the Road (Page 28) Healthcare Traveler - July 2008 - Taking Your Home on the Road (Page 29) Healthcare Traveler - July 2008 - Taking Your Home on the Road (Page 30) Healthcare Traveler - July 2008 - Taking Your Home on the Road (Page 31) Healthcare Traveler - July 2008 - Taking Your Home on the Road (Page 32) Healthcare Traveler - July 2008 - Taking Your Home on the Road (Page 33) Healthcare Traveler - July 2008 - Taking Your Home on the Road (Page 34) Healthcare Traveler - July 2008 - Taking Your Home on the Road (Page 35) Healthcare Traveler - July 2008 - Taking Your Home on the Road (Page 36) Healthcare Traveler - July 2008 - Taking Your Home on the Road (Page 37) Healthcare Traveler - July 2008 - Taking Your Home on the Road (Page 38) Healthcare Traveler - July 2008 - Taking Your Home on the Road (Page 39) Healthcare Traveler - July 2008 - Drug Update (Page 40) Healthcare Traveler - July 2008 - Drug Update (Page 41) Healthcare Traveler - July 2008 - Drug Update (Page 42) Healthcare Traveler - July 2008 - Clinical Tips (Page 43) Healthcare Traveler - July 2008 - Cityscape (Page 44) Healthcare Traveler - July 2008 - Cityscape (Page 45) Healthcare Traveler - July 2008 - Cityscape (Page 46) Healthcare Traveler - July 2008 - Cityscape (Page 47) Healthcare Traveler - July 2008 - Cityscape (Page 48) Healthcare Traveler - July 2008 - Advertisers' Index (Page 49) Healthcare Traveler - July 2008 - Advertisers' Index (Page 50) Healthcare Traveler - July 2008 - Name It (Page 51) Healthcare Traveler - July 2008 - When In... (Page 52) Healthcare Traveler - July 2008 - When In... (Page 53) Healthcare Traveler - July 2008 - Good for You (Page 54) Healthcare Traveler - July 2008 - Good for You (Page 55) Healthcare Traveler - July 2008 - Big Deals (Page 56) Healthcare Traveler - July 2008 - Tax Facts (Page 57) Healthcare Traveler - July 2008 - Going the Distance (Page 58) Healthcare Traveler - July 2008 - Contest Rules (Page 59) Healthcare Traveler - July 2008 - Starter's Kit (Page 60) Healthcare Traveler - July 2008 - Starter's Kit (Page 61) Healthcare Traveler - July 2008 - Allied Corner (Page 62) Healthcare Traveler - July 2008 - Classifieds (Page 63) Healthcare Traveler - July 2008 - Tales from the Road (Page 64) Healthcare Traveler - July 2008 - Tales from the Road (Page Cover3) Healthcare Traveler - July 2008 - Tales from the Road (Page Cover4)
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