Ampicillin with Sulbactam (Unisyn)

Category:

  • Antibiotic

Description:

  • Penicillin with beta-lactamase inhibitor

  • 500mg of sulbactam per 1 gram of ampicillin

Indications:

  • Mild to moderate infections (i.e.; skin, intra-abdominal and gynecological infections)

  • susceptible strains of S. aureus, Klebsiella species, E. coli, H. influenzae, P. mirabilis, Bacteroides fragilis, Enterobacter species, Acinetobacter calcoaceticus

Contraindications:

  • None

Precautions:

  • Pregnancy category B

  • Use with caution in patients with PCN or cephalosporin allergy (5-10% chance of cross-reactivity)

  • Dosage modifications are generally only required in patients with severe renal impairment

Adverse Reactions (Side Effects):

  • Hypersensitivity (rash not representing a true allergy)

  • Gastrointestinal: nausea, vomiting, diarrhea

  • Vaginitis

Dosage:

  • Administered IV or IM (powder for injection)

  • Adult:

    • 1.5-3 grams every 6 hours (not to exceed 4 grams per day of sulbactam component)

  • Child (>1 year old or < 40kg):

    • 300mg/kg/day in divided doses every 6 hours

  • Child (> 40kg):

    • adult dosing guidelines

 

Source: Operational Medicine 2001,  Health Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C., 20372-5300  

Gynecology and Obstetrics CD-ROM
Volumes 1-6
2004 Edition
 Lippincott Williams & Wilkins
Copyright 2004
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