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Order: Amoxil (amoxicillin ) 0.4g, po, q^(8)h. Drug available:

User JohnRC
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Final answer:

The question is related to a medical prescription of amoxicillin for pneumonia, which was ineffective, leading to a switch to azithromycin for treatment. It also touches upon antibiotic resistance and the importance of vaccines in preventing respiratory infections that can lead to secondary bacterial infections.

Step-by-step explanation:

The student's question pertains to the prescription of amoxicillin, an antibiotic that is part of the penicillin family. Amoxicillin targets bacterial cell walls, specifically peptidoglycan, and is commonly prescribed to treat infections such as pneumonia. However, this question appears to be part of a clinical focus scenario where amoxicillin was initially prescribed for pneumonia but was not effective in completely resolving the symptoms. As a result, the healthcare provider switched to a different antibiotic, azithromycin, which targets bacterial ribosomes, leading to a successful resolution of the patient's pneumonia symptoms.

Antibiotic resistance is an important issue in the use of amoxicillin and other antibiotics. Overprescription and incorrect usage contribute to the development of resistant pathogens, highlighting the need for proper diagnosis and therapy selection. The mention of the pneumococcal conjugate vaccine (PCV13) and vaccination against influenza underscores preventive measures against respiratory infections, which can decrease the incidence of secondary bacterial infections such as Acute Otitis Media (AOM).

User Sean Hammond
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