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STREP while on proph abx-- Omnicef now?

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Hi everyone-

I have not posted in quite a while, but do read posts and pray for you guys and your kids.


My dd8 has Pandas (Pitand) and has for a few years. She is never 100%....always some variant of tics, but not always flare-like (not aways frequent and as numerous, OCD, sep anxiety, night terrors, adhd, etc..) So we have just kept her on a prophylactic antibiotic (Keflex) for the past year and a half.


Last night she said her throat hurt a little, and she had a little fever (like 100-101). Not acting sick (which I notice she always seems more "normal" and pleasant WHILE she is sick with a fever.....it's the aftermath). One of her sisters has had croup for a few days, and spiked a fever last night. I don't take them in often, but did today. Older sister has pneumonia!!! DD8 has strep. Even while on Keflex. The doctor (didn't see our regular ped....this one didn't know much about treating...) said she wanted us to stop the Keflex for 10 days and do ammoxicillan. I said I thought amox wasn't great for strep, and she said we could try Omnicef (which is what she put my older dd on for the pnuemonia). I asked about Zithromax, but she said it's her "third line" treatment. Our regular doc (and Dr. L) don't like Zithromax at all for strep (we live in Virginia.....maybe resistant strep??).


Just wondering if Omnicef is likely to work? It's a cephalosporin, just like Keflex, which she was on prophylactically, and still got strep. I sure hope so.



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Was she on a lower prophylactic dose of Keflex? My daughter was taking a lower dose of Omnicef (150mg daily) and she tested positive on the rapid test in September. The ped put her on full strength Omnicef, and when we saw Dr. L again she kept her on that. That did clear her strep.


I think Omnicef is a good antibiotic, but be ready to jump if she continues to test positive because - like you already know - it's the same class as keflex. A better option than zithromax is clindamycin. Zithromax has documented strep resistance, but I know many see good results with it. Clindamycin is one of the "go-to" antibiotics for clearing a strep carrier...just wanted to throw that out as an option.


Good Luck...crossing my fingers that your daughter doesn't flare!

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Thanks Karen! That makes me feel better. But she took 1 1/2 tsp. of Keflex....now is about on same dose of Omnicef....one time a day as well??? Maybe it's stronger so don't need a higher dose??? Oh jeeze...now I'm worrying:(


So afraid she will tank again...


I am opposed to Clindamycin. I know I see a lot of docs using it here, but I took it one time years ago and by the second day, my diarrhea was so bad I said I'd rather stay sick than stay on it. Also, my mom took it for a dental issue, and fought c-difficile for over a year from it!!! My oldest had c-diff as a 2 year old...not something I EVER want to deal with again.

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I know they thought it was bacterial. I asked how she knew just by listening to lungs...she said viral is usually both lungs, while bacterial is usually one. She heard crackling in her left lung...loud and clear. But my pandas dd is the one with strep :( Hoping the biaxin works.

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