Letters

Ceftriaxone or ciprofloxacin should be considered as first line prophylaxis

BMJ 1996; 312 doi: http://dx.doi.org/10.1136/bmj.312.7045.1536a (Published 15 June 1996) Cite this as: BMJ 1996;312:1536

Re: Ceftriaxone or ciprofloxacin should be considered as first line prophylaxis

In Cuba, Ceftriaxone is used in combination with other antibiotics like macrolides or aminoglycosides for the treatment of communal and nosocomial pneumonia. It is also the front line treatment of bacterial meningitis. In pediatrics, it is used often for febrile newborn babies between 4 and 8 weeks of life in order to exclude some complications of sepsis. It has also been used for the treatment of gonorrhea, pelvic inflammatory disease, meningitis, vaginitis, and syphilis.

Depending on the type and the severity of infection, the dose varies between 1 and 2 g every 12 or 24 hours intravenously or intramuscularly. Gonorrhea has been treated with a single dose of 125 mg intramuscularly.

We have had very good results. Complications are not common. In order to avoid resistance, we took measures to guarantee the efficacy of this medication.

Competing interests: No competing interests

20 December 2012
Richard Marcelo Alvarez Orbeaa
Specialist of Internal Medicine. Instructor Professor
Ana Beatriz Lamadrid Prada,Aliosvi Rodriguez Rodriguez, Raul Medina
Teaching Hospital of Trinidad,
Building 22 Apartment 7. Trinidad. Cuba
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