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    Background: Use of penicillin class (such as ampicillin/sulbactam) is included in a treatment guideline of community-acquired pneumonia (CAP). The hospitals participated in this study were 4 academic hospitals in Korea. However, the use of the wide spectrum antibiotics such as 3generation cephalosporin is common in the clinical practice. Results: We enrolled 225 patients (ampicillin/sulbactam: 72, amoxicillin/clavulanate: 3, 3 generation cephalosporin were 1.17±1.05, 1.07±0.95 (p=0.487), respectively, and Pneumonia Severity Index (PSI) were 77.5±28.2, 74.7±29.3 (p=0.50), respectively. This practice might aggravate the problems of antimicrobial resistance and high medical expenses. We did random matching at a ratio of 1:2 (age; ±5 years, sex; same) for ampicillin/sulbactam or amoxicillin/clavulanate: 3generation cephalosporin as empiric antibiotics for CAP. However, there was statistically significant difference between both groups in the combination of macrolide or quinolone; penicillin group 68.0% (51/75) vs. 3generation cephalosporin was 2.7% (2/75), 1.3% (2/150) and was not statistically significant. Additionally we conducted multivariate logistic regression analysis with variables (empiric antibiotics, age, Charlson comorbidity score, presence of combination, PSI score, etc.). Amoxicillin vs Penicillin - levitra professional reviews Is it because of the structural difference that amoxicillin gets absorbed. Ampicillin - an overview ScienceDirect Topics
     
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