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Surgery General f9d95fe1

A 65-year-old male from bihar with a pneumonia has a sputum culture that is positive for a staphylococcal strain that is b-lactamase- positive. Which is the best choice of penicillin therapy in this patient?

A
Ampicillin
B
Oxacillin
C
Ticarcillin
D
Penicillin G
High-Yield Explanation
Oxacillin is classified as a penicillinase-resistant penicillin that is relatively acid-stable and, therefore, is useful for oral administration. Major adverse reactions include penicillin hypersensitivity and interstitial nephritis. With the exception of methicillin, which is 35% bound to serum proteins, all penicillinase-resistant penicillins are highly bound to plasma proteins. Oxacillin has a very narrow spectrum and is used primarily as an antistaphylococcal agent.

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