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Xxiv ; Recognising that the 17 November Assembly elections in Kosovo were a significant step towards building a democratic society based on human rights and the rule of law; xxv ; Concerned, however, that efforts within the new structures for provisional selfgovernment may be directed towards establishing an independent Kosovo, while neglecting other issues which are far more important to the citizens of Kosovo, such as the development of a viable economy, the fight against crime and corruption, the return of refugees and displaced persons, good relations with neighbouring countries and the improvement of the healthcare and educational systems, RECOMMENDS THAT THE COUNCIL Invite the governments of the WEU countries, in particular those which are members of the EU or NATO: 1. To make their aid and assistance to Bosnia and Herzegovina and its Entities, in particular Republika Srpska, strictly contingent upon on the adoption and implementation of: strict cooperation with the International Criminal Tribunal for the former Yugoslavia; acceptance and support for minority returns on a sustainable basis; determined efforts to root out systematic corruption and party political control over the economy; 2. To ensure that SFOR discharges its responsibilities in Republika Srpska, in the same way as it has done in the Federation, by apprehending Radovan Karadzic and Ratko Mladic and handing them over for trial before the ICTY in The Hague; 3. To continue their support for the missions of SFOR in Bosnia and Herzegovina, KFOR in Kosovo and Amber Fox in the Former Yugoslav Republic of Macedonia, which will all remain essential in the foreseeable future for the maintenance of peace and security in that area; 4. To start preparations for the organisation of a "Balkan Conference" on the future of the nations and states of south-eastern Europe, for which every relevant issue will be placed on the agenda.
Alosetron 152 Antineoplastics 174 Alpha blockers 35, 341 Antioxidants 89, 125, 266, Abacavir 203 Alpha tocopheryl 2, 9 Antiplatelet agents 6, 135, 197, Abciximab 6, 9, 19, Alprostadil 39 see also thrombolytics ; 173, 212, 225, Antipsychotics 272, 285, 310 Alteplase 6, 27, 81, Abnormalities-drug induced 204, 259 Antipsychotic agents 5, 7, 98, Abortion 226, 281, 361 Alternative medicine 56, 68, 69, ABOVE trial 32 Antiretrovirals 257, 267 118, Acamprosate 101 Antispasmodics-urinary 305 282, 320, Acarbose 78, 265, 319 Antituberculars 273 Altitude sickness 168, 353 ACCENT 1 study 261 Antitussives 246 Alzheimer's disease 2, 12, 14, Accidents-Traffic 200 Anti-ulcer agents 49, 79 102, Acetazolamide 168, 353 Antivirals 102, 141, 143 Acetylcholinesterase 24, 29 Anxiety 71, 163, 205 Acidosis 340 Aortic valve 308 America 358 Acne 22, 40 Aplastic anaemia 48, 72 Amfepramone 206, 208, 210 Acupuncture 354 Appetite suppressants 74 Aminoglycosides 311, 353 Adenoma 306, 315 Apples 237 Amiodarone 3, 31, 36, Adenosine 104 Aprotinin 28 AMISTAD II trial 104 Adherence 326, 328, 362 ARREST trial 31 Amlodipine 33, 150, 364 Administration-cutaneous 276, 322 Arrhythmias 101, 149, 152, Xmoxycillin 7, 11, 14, Administration-Inhalation 198, 211, 250, Arterial occlusive diseases 287 Amphotericin 93, 97, 330 Arteriosclerosis 255 Anaemia 66, 93, 173, Administration-Intermittent 228 Arthritis, Anaesthesia epidural 216, 274 Administration-Intra-articular 355 rheumatoid 46, 107, 133, Anaesthesia-general 363 Administration-Intranasal 164, 198 151, Analgesia 216 Administration-Intrathecal 184 364, 369 Analgesics 37, 41, 42, Administration-Intravenous 224 osteo 12, 56, 72, anti-inflammatory 12, 17, 28, Administration-Nasogastric 337 186, 193, Administration-Oral 250 355 161, Administration-Topical 342, 357 Arthralgia 32 277, 319, Adolescence 145, 308, 325, Arthropathy 20 363, 367 Adrenal gland hypofunction 123 Asacol 43, 50 narcotic 168, 233, 275, Adrenergic agonists 1 Ascorbate 154, 268, 287 Anastrazole 188, 267 Adrenaline 320, 341, 358 Asia 361 Ancrod 158 Adverse effects 146, 148, 149, ASSENT trial 99, 120 Androgen antagonists 272 158, 159, ASSENT-3 225 Angina 5, 6, 12, Aspirin 6, 8, 9, Angiography 301 258, 261, Angioplasty 99, 275, 281, Angiotensin II antagonists 66, 78, 163, Adverse reaction monitoring 301, 305 244, Angiotensin converting enzyme inhibitors ACE ; Advertising 51, 64, 79, Aged 44, 95, 96, Asthma 3, 26, 31, Anistreplase 15 306, 307, Anti-emetics 363 AIDS see HIV ; 218, 220, 223, Antibiotics 11, 18, 26, Air pollution 250 303, 305, AIRE trial 6 356, 360, AIREX trial 6, 22 ASTRONAUT trial 49 Antibody formation 334 Albumin 362 Asystole 341 Anticholinergics 305 Albuminuria 219, 349 ATBC trial 9 Anticoagulants 50, 56, 76, Alcoholic beverages 186, 223, 237, Atenolol 13, 251, 280, Atherosclerosis 260, 298, 328, Anticoagulants-oral 271, 283, 286, Alcoholism 101, 174, 238 ATLANTIS study 137 Anticonvulsants 54, 166, 204, Alendronate 3, 10, 24, Atorvastatin 4, 47, 85, Antidepressants 8, 45, 56, ALERT 314 Atovaquone 190 300, 308, Alfuzosin 30 Atrial fibrillation 8, 36, 50, Antihyperlipidaemics 358, 359 Allergens 248 156, 185, Antihypertensives 30, 33, 36, Allergic rhinitis 85, 170 Attention deficit disorder 180 168, 169, ALLHAT trial 147, 150, 152, Attitude 186, 241 290, ALLHAT-LLT 292 ATTRACT study 136 Antilipaemics 203, 225, 290, Alopecia 141, 237 Autism 4, 105, 113, Antimalarials 335 A current awareness bulletin produced for healthcare professionals by North West Medicines Information Service, The Pharmacy Practice Unit, 70 Pembroke Place, Liverpool, L69 3GF. Editor: Jane Ayres. Telephone: 0151 794 8115. E-mail: druginfo liv.ac.
Antibiotics, antihistamines, and corticosteroids are the standard in medicating very young children, just as they are in treatment of adults. Antimicrobial resistance in the treatment of urinary tract infections is a major health problem. This study evaluates the pattern of susceptibility of pathogens commonly responsible for urinary tract infections UTIs ; to commonly used antimicrobial agents in Benin City. Midstream urine samples of 700 patients 300 males and 400 females ; , who were attending clinics in a 550-bed University of Benin Teaching Hospital, Benin City, between April 2003 to March 2004 were examined. Susceptibility of the urine bacteria isolates to twelve commonly used antibiotics was investigated. Eight bacteria isolates were recovered from 49.5% of the patients 18.1% of males and 31.4% of females ; . These were Escherichia coli 19.7% ; , Klebsiella aerogenes 15.1% ; , Proteus mirabilis 6.7% ; , Acinetobacter calcoaceticus 2.3% ; , Pseudomonas aeruginosa 2.3% ; , Streptococcus faecalis 1.3% ; , Providence stuartii 1% ; , and Alkaligenes faecalis 1% ; . All the isolates exhibited a significantly high resistance to tetracycline, co-trimoxazole, amoxycillin and cefuroxime but were either moderately or highly sensitive to the quinolones and nitrofurantoin. We conclude that majority of the antimicrobial agents that are commonly used to treat UTIs in the hospitals are no longer effective. Therefore, the development and strict management of antimicrobial policy, and surveillance for resistant organisms should be given priority in Nigeria. Key words: Urinary tract infections, antimicrobial agents, bacterial isolates. INTRODUCTION Urinary tract infections UTIs ; are common type of bacterial infection accounting for reasonably high health care expenditures in people of all ages, with more than 35 million medically treated infections each year Mindbranch Inc, 2004 ; . This translates into sales in excess of $1.1billion across key markets in 2003, with the majority of value derived from community management Mindbranch Inc, 2004 ; . Young women, the elderly and those undergoing genitourinary instrumentation or catheterization, among others, are also at risk Kunin, 1994 ; . UTIs are the leading cause of gram-negative bacteremia. In 1991, these infections accounted for approximately 7 million office visits and more than 1 million hospitalizations, for an overall annual cost in excess of $1 billion, in the United States Patton et al., 1991 ; . UTIs are usually treated with antibiotics including nalidixic acid, nitrofurantoin, ofloxacin, perfloxacin, ciprofloxacin, gentamycin, etc. In the last couple of years, there has been a lot of focus in scientific literature on inappropriate use of antimicrobial agents and the spread of bacterial resistance Gold and Moellering, 1996; Tenover and Hughes, 1996; Tenover and McGowan, 1996 ; . The widespread and inappropriate use of antibiotics is recognized as a significant contributing factor to the spread of bacterial resistance and the development of resistance to antimicrobial agents Mincey and Parkulo, 2001 ; . For most bacteria, there is evidence that increased usage of a particular antimicrobial correlates with increased levels of bacterial. Dosage and directions for use: therapeutic doses of amoxycillin are used to calculate the dosage of hiconcil-ns.

Synopsis The Royal Pharmaceutical Society has published detailed guidance explaining how pharmacists can ensure that existing dispensing and pharmacy assistants involved in pharmacy services can continue working without needing a new qualification once the regulation of such assistants begins next year. The guidance appears in an eight-page centre pull-out in the current issue of the `Pharmaceutical Journal.' Under the Society's new minimum competence requirement for dispensing pharmacy assistants, which comes into force on 1 January 2005, staff will be required to undertake a training programme equivalent to relevant units of the new Scottish National Vocational Qualification level 2 qualification in pharmacy services. The guidance explains how pharmacists can take advantage of a transitional arrangement, known as a "grandparent clause", which allows existing staff to be exempted from the new requirement. Exemption will only be granted if the supervising pharmacist provides the Society with a formal declaration of competence for each qualifying dispensing pharmacy assistant by 31 December 2004. The pull-out includes a detailed support guide to help the supervising pharmacist decide whether or not a member of staff working as a dispensing pharmacy assistant can satisfactorily be declared competent in the duties they undertake. For further information, there is a dedicated telephone helpline 020 7572 2577 ; or a dedicated e-mail address gp2 rpsgb ; . Further information about the "grandparent clause" exemptions, including responses to frequently asked questions, will appear in future issues of The Journal and clavulanate.

Pasteurella multocida Sensitest, air, 35?C ; Disc Tested Potency Antibiotics Reported Ampicillin Ciprofloxacin Tetracycline 5?g 2.5 ? g 30 Penicillin, ampicillin, amoxycillin Ciprofloxacin Tetracycline.
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Augmentin formulations will also be effective in the treatment of infections caused by amoxycillin sensitive organisms at the appropriate amoxycillin dosage since in this situation the clavulanic acid component does not contribute to the therapeutic effect and ampicillin. Lancet January 11, 2003; 361: Original investigation, observational study, first author Mary E Palmer, Landspitali University Hospital, Reykjavik, Iceland. thelancet Comment: This data has continuing importance to primary care. We all know this. The message warrants repetition. Clinicians often have no information on what DS patients are taking, and on what the possible interactions with prescription drugs may occur. We should try to determine what DS patients are using, even though they may be reluctant to tell us. I believe our strong message should be: "You are taking a great risk". "You do not know what you are taking". "You do not know if it is safe". However, patients are convinced of safety of herbal mixtures based on historical use. We should point out: There is no way we can be sure what the DS contain. The multiple ingredients vary from batch to batch. There is no way we can be sure that labeling is correct. There can be no assurance that they are safe, especially when combined with other DS or with prescription drugs. Adulteration is common. Additional care is required to assure that children will not gain access. RTJ. Clinical features : An upper respiratory tract infection `cold' usually precedes acute otitis media. The patient may have features of acute residual sinonasal throat infection - he may be pyrexial and complain of blocked feeling pain in the ear - the symptoms signs varying according to the stage at which he presents - catarrhal or suppurative. At the catarrhal stage, the tympanic membrane s ; are retracted with loss of light reflex, mildly congested with predominant malleolar congestion. Later, the congestion spreads across the entire tympanic membrane Fig - 1 ; . In impending rupture, the patient is very restless, will cry for relief and the membrane will bulge, usually postero-superiorly. Tuning fork tests will show mild to moderate conductive hearing loss in the affected ear. No special investigations are required at this stage - if the membrane has ruptured, an aural swab must be taken for culture and antibiotic sensitivity test. Treatment a. Antibiotics : At the catarrhal stage, if it is mild, one should avoid antibiotics. Start oral antibiotics at the earliest suspicion of suppuration which may escalate a clinical appreciation that will only increase with experience. Oral injectable antibiotics like Ampicillin Amoxyfillin Augmentin, if the condition so demands, may be given parenterally for 24 hours, then orally for 7 days in the appropriate dosage consistent with the age of the patient. b. Oral and local decongestants with anti-inflammatory drugs for 3-5 days. c. If the pain increases and the tympanic membrane bulge increases, a myringotomy at an ENT centre is advisable. In case of otorrhoea, local antibioticsteroid ear drops eg. gentamycin + hydrocortisone ; instillation thrice daily should be advised for one week. Furuncle of external ear Pathophysiology : A furuncle of external auditory and anastrozole.

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Section XVIII Optical, photographic, cinematographic, measuring, checking, precision, medical or surgical instruments and apparatus; clocks and watches; musical instruments; parts and accessories thereof Optical, photographic, cinematographic, measuring, checking, precision, medical or surgical instruments and apparatus; parts and accessories thereof Nil. Chapter 91 Clocks and watches and parts thereof Nil. Chapter 92 Musical instruments; parts and accessories of such articles Nil. 98 Table 3.7 Platform Cost-Driver Ratings and Rationale and arava.

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After authorization by one of the physicians designated above, the treatment assignment will then be provided to the treating physician by the CALGB Statistical Center. Storage and Stability Lapatinib placebo tablets are shipped at room temperature by US Priority mail and on arrival should be stored at controlled room temperature 15C to 30C, 59F to 86F ; and protected from light. Shelf-life studies with lapatinib are continuing and investigators will be notified when lots have expired. Administration For this study, lapatinib placebo will be administered at a dose of 1500 mg 6 X 250 mg tablets ; orally once daily, on an empty stomach either 1 hour before or 1 hour after meals ; . Whenever possible, whole tablets should be administered. Lapatinib tablets have not been deliberately formulated to be dispersible tablets; however, in circumstances where dosing of whole tablets is not possible, options exist. For patients with feeding tubes or those unable to swallow tablets: Crush the required number of tablets using a mortar and pestle until a finely ground powder is achieved. Transfer the powder into 4 oz 120 mL ; of water and stir for approximately 1 minute or until the powder is fully dispersed. Administer the dispersion immediately. Rinse the container with 2 oz 60 water, stirring for approximately one minute to suspend the residual tablet residue remaining in the mortar ; . Administer the 2nd dispersion immediately. To ensure complete removal of any.

With four established brands Asthalin-Inhaler, Aerocort, Asthalin and Theo Asthalin ; and a retinue of 18 brands in the anti asthmatics segment, it's in an impregnable position. This explains the 19%, 23%, 20% and 24% growth, respectively, over the previous four quarters. Of the 18 brands, as many as 15 are in niche and low competition areas and has a portfolio which is far wider than that of Glaxo India, a company whose parent is a leader in this segment. It has the added advantage of manufacturing most of the APIs of these brands, inhouse. Norflox, its Norfloxacin brand which accounts for nearly 45% of the segment's contribution ; has seen a major spurt in market share from 4.9% in QEF'01 to 7.3% in QEJ'01 ; , which is indicative of the inroads it has made. However, Norilet Dr.Reddy's ; , Tamflox Sun Pharma ; and Uroflox Torrent Pharma ; are priced at a significant discount to the other key brands in the segment. This could exert some pressure on its volumes, especially from Norilet as the brand is critical for Dr.Reddy's Labs. Ciplox, its #2 brand in the segment has been a segment performer and de grew by 4% during the previous quarter. Though there is intense competition in this segment, prices are now more or less similar across the major brands after the 25% price hike by Ciprolet Dr.Reddy's Labs ; and Ciptam Sun Pharma ; . Proflox Pefloxacin ; is its third molecule in the segment. Though a small contributor currently, the fact that it was the only one to effect a 14% price hike while others held their price lines steady is an indicator of its position of pre eminence in the segment. One area where it has lost market shares during the year across its three leading brands in the segment Novamox, an Amoxycillin, Novaclox , an Amoxycillin, Cloxacillin combination and a line extension of Novamox ; . The pure Amoxyclilin segment is a mature segment that is manifest by the minimal price changes in the leading brands during the year - + 3% and + 2% in the case of Mox Ranbaxy ; and Novamox Cipla ; , respectively and 3% in the case of Moxibact Sun Pharma ; . Though this is an evergreen segment, volumes growth would be hard to come by. In the Amoxycillin, Cloxacillin combination, Cipla has taken a substantial price hike and is now on par with the other key brands Hipenox Cadila Healthcare ; and Nataclox Sun Pharma ; . Besides the above brands, it has an interesting molecule in Bromolin, an Amoxycillin, Bromhexine combination, in which the only key competitor is Respimox of Wockhardt and atarax. In particular, the respondent argued that the skilled person would not be motivated to look to the teaching of document 2 ; , which did not mention paediatric formulations. Moreover, the respondent considered that the only amoxyfillin clavulanate combination exemplified in document 2 ; was one which was equivalent to a 4: ratio in man, and that the teaching from the document as a whole was to use more clavulanate rather than less!

From Hatcher RA et al., Contraceptive Technology, 17th Revised Edition. New York, NY: Irvington Publishers, 1998. Table 9-2 and atorvastatin. There is insufficient evidence at present to show that amoxycillij penetrates into the cerebro-spinal fluid in therapeutic quantities and it should, therefore, not be used in the treatment of cerebro-spinal infections.
[Date] Dear [Title] [Name]: Please accept our apology for this final letter. We totally understand your wish not to participate in our OTC medicine project. Mail surveys are not for everyone and can be a real bother! IF you could find a minute to provide the following information, however, that would even help. If you do so, please make sure to tear off your name and address and just send back the bottom portion. We have no need to know who the return letter was sent by. Thanks for your consideration. Sincerely, Helen Lo, BSP Jeff Taylor, Ph.D. M . Student Supervisor and axid.
CLAMOXYL DUO 400 SUSPENSION PRODUCT INFORMATION Xmoxycillin Trihydrate and Potassium Clavulanate ; reported in terms of amoxycililn concentration in the clavulanic acid at constant 2 parts amoxycillin to 1 part clavulanic acid . Recommended CLAMOXYL Susceptibility Ranges1, 2. ORGANISMS RESISTANT INTERMEDIATE SUSCEPTIBLE Gram Negative 13mm 14-17mm 18mm Enteric Bacteria Staphylococcus 3 and Haemophilus spp 19mm 20mm 1. The non--lactamase-producing organisms which are normally susceptible to ampicillin, such as Streptococci, will have similar zone sizes as for ampicillin discs. 2. The quality control cultures should have the following assigned daily ranges for CLAMOXYL: Discs Mode MIC mg L ; E. coli ATCC25922 ; 19-25mm 4 2 - 8 4 aureus ATCC25923 ; 28-36mm 0.25 0.12 - 0.5 0.25 E. coli ATCC35218 ; 18-22mm 4 2 - 8 4 The Mode MIC is expressed as the concentration of amoxycillin clavulanic acid. 3. Organisms which show susceptibility to CLAMOXYL but are resistant to methicillin oxacillin should be considered resistant. INDICATIONS CLAMOXYL DUO 400 oral suspension is indicated in the short term treatment of the following bacterial infections when caused by sensitive organisms see Microbiology ; : Skin and Skin Structure Infections Urinary Tract Infections complicated and uncomplicated. This case concerns a ten year old boy presenting with pain and stiffness in his left knee. Previously well, he did suffer from 'septic spots' that usually disappeared after prescription of amoxycillin. On Friday 22 March he became ill with fever 39oC ; , a raised pulse 120 beats per minute ; and muscle aches and pains. His General Practitioner diagnosed influenza, and prescribed paracetamol for the boy. The patient's condition deteriorated during the next 24 hours and by 6 p.m. on Saturday 23 March, he had a temperature of 40.2oC and a pulse of 140 beats per minute. In addition to general aches and pains, he complained of pain in his left leg, just below the knee joint. Flexing the left knee caused severe pain. His mother was unhappy with the diagnosis of influenza and rang the doctor's deputising service, who reassured her that the infection was self-limiting, and that it might be wise to persist with the paracetamol. During the next 24 hours he showed no improvement, and the symptoms were aggravated by nausea and vomiting. The boy became flushed and delirious. His temperature was 41.0oC by Sunday afternoon. The child was taken to the casualty department of St. James' University Hospital. He was seen at 7 p.m. and was diagnosed as suffering from meningitis because of his toxaemia, headache, and reduced level of consciousness. He was given intravenous cefotaxime. A lumbar puncture was performed. Two hours later, the CSF was reported as normal, but his blood sample showed 3.5x 109 leukocytes per litre, of which 92% were polymorphs. The diagnosis was changed to pyogenic sepsis of unknown aetiology. An emergency brain scan was performed to exclude a cerebral abscess. At midnight this was reported as normal. The Consultant noted that despite a general restlessness, the patient did not move his left leg spontaneously. Careful examination of the upper part of the left tibia revealed an area where any local pressure caused extreme pain. The limb was swollen and red, and the mother said it had been like this for the past three days. A diagnosis of acute osteomyelitis was now made, and the patient was referred to the orthopaedic department. Two boreholes were drilled in the upper part of the left tibia where inflammation was most marked. Each aspirate yielded 5 ml of bloodstained pus. The left knee joint was aspirated and its fluid was cloudy. The following results were reported by the laboratory: Both bone aspirates yielded a pure growth of Staphylococcus aureus resistant to penicillin, ampicillin and amoxycillin, but sensitive to erythromycin, fusidic acid, flucloxacillin and gentamicin. The knee aspirate contained 300 polymorphs cu.mm but was sterile. The osteomyelitis had not invaded the knee joint - the effusion was sympathetic. The pus aspirate confirmed the diagnosis of osteomyelitis. The patient was treated with flucloxacillin and fusidic acid, begun after surgery was complete and azelaic.

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Linearity and range The quantification of the chromatogram was performed using the area of peak. Peak areas versus concentrations were plotted for the both FS and HCT. The statistical analysis of linear regression is shown in Table 1. The linearity range was 10-50 g ml with correlation coefficient of 0.9997 for FS and 6.25-31.35 g ml with correlation coefficient of 0.9997 for HCT. The limit of detection LOD ; for was 0.5 g ml and 1 g ml for FS and HCT, respectively. The limit of quantification LOQ ; was 50g ml and 31.35g ml for FS and HCT, respectively. Each vial contains: Am0xycillin Sodium I.P. Equivalent to Amoxycillin.125mg Clavulanate Potassium U.S.P. Equivalent to Clavulanic Acid.25mg and azithromycin and amoxycillin. 0889807 11 01 Class 9. Scientific, nautical, surveying, photographic, cinematographic, optical, weighing, measuring, signaling, checking supervision ; , emergency life-saving ; and teaching apparatus and instruments; apparatus for recording, transmitting and reproducing sound, waves, images in the field of optics; sound recording disks; magnetic recording media for storing ophthalmological data of patients for their follow-up by various medical or paramedical professionals in the ophthalmological field, automatic vending machines and mechanisms for coinoperated apparatus; cash.

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Scale: 1 Strongly Disagree ; to 7 Strongly Agree ; The mean score of Convenience Stores minus the mean score of Pharmacies. c. Wilcoxon Signed Ranks Test.

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Respiratory infections Viral upper respiratory tract infections are more common in travellers, partly because of increased exposure to other people in crowded airports, aircraft, buses and so on, and partly because of exposure to new strains of viruses to which the traveller has not previously developed immunity. Coughs, colds and flu are unpleasant but rarely life threatening. These infections are self-limiting but symptomatic treatment with paracetamol or aspirin may help. Most sore throats are viral in origin and also get better with time. However, some may be bacterial, caused by bacteria such as Streptococcus pyogenes. If there is evidence of pus white spots ; on the tonsils tonsillitis ; or at the back of the throat, it may be prudent to take antibiotics. Phenoxymethylpenicillin or erythromycin 500mg, four times a day for a week ; would be reasonable choices. Ampicillin amoxycillin should be avoided in these circumstances as it may lead to a severe rash if the sore throat is due to glandular fever infectious mononucleosis ; . If an expedition member develops a cough with a fever and brings up purulent yellow green ; sputum, he or she may have bronchitis or pneumonia caused by Streptococcus pneumoniae or "atypicals" such as Mycoplasma pneumoniae. Pneumonia is more serious and is often accompanied by breathlessness and chest pain that is made worse by deep breathing. In these circumstances, antibiotic therapy with erythromycin 500mg, four times a day for a week ; is appropriate, but patients with severe pneumonia will need evacuation and hospital care. Sinus infections can sometimes be a problem, presenting with nasal stuffiness, pain and tenderness over the sinuses, and sometimes a fever and headache. Although usually caused by viruses, some are bacterial in origin and complicate viral colds and flu. If flu or cold symptoms persist for longer than a week with new symptoms suggestive of sinusitis, an antibiotic such as co-amoxiclav Augmentin 375mg, three times a day for a week ; should be considered. Ear infections These may be a particular problem for expeditions involving diving or caving. Sometimes the lining of the ear canal becomes infected otitis externa ; and is red and painful. This can usually be treated with antibiotic ear drops, such as hydrocortisone Otosporin, two drops, three times a day ; , and careful attention to keeping the ears as dry as possible. Rarely in adults the middle ear can become infected otitis media ; . Again, pain in only one ear is the main symptom and, if observed, the eardrum appears red. Oral antibiotics should settle this down, co-amoxiclav Augmentin 375mg, three times a day for 5 days ; being first choice. Eye infections Sometimes the small glands in the eyelash follicles in the eyelids become blocked and.
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