Sarah:
        It is always good to start with a culture and sensitivity.  The
sensitivity test will tell you what other antibiotics might be effective in
treating this wound infection.   I would bet it is probably a staphlococcal
infection.  Other penicillins such as Nafcillin,  or even gentamicin  might
prove effective,  but the culture should tell you.

        The contraindication for floxin is supportable,  but not absolute.
A short term exposure of several days to a week,  with close observation of
the infant would not likely harm the infant.   A good reference is:

Giamarellou H, et.al. American J. of Medicine 87:5A-49S-51S, 1989.
Pharmacokinetics of three newer quinolones in pregnane and lactating women.



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T.W. Hale, Ph.D.
Associate Professor of Pediatrics
Texas Tech University School of Medicine

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