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In patients with renal function impairment, ampicillin-class antibiotics can be removed by hemodialysis but not peritoneal dialysis.
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Psudommbanous colitis has bn potd with naly all antibactial agnts, including ampicillin, and may ang in svity om mild tli-thatning. Tho, it is impotant tconsid this diagnosis in patints whpsnt with diaha subsqunt tth administation antibactial agnts. Tatmnt with antibactial agnts alts th nomal loa th colon and may pmit ovgowth clostidia. Studis indicat that a toxin poducd by clostidium diicil, is on pimay caus „antibiotic-associatd colitis“. At th diagnosis psudommbanous colitis has ban stablishd, thaputic masus should b initiatd. Mild cass psudommbanous colitis usually spond tdug discontinuation alon. In modat tsv cass, considation should b givn tmanagmnt with luids and lctolyts, potin supplmntation and tatmnt with an antibactial dug clinically ctiv against C. diicil colitis.
2. Th patint should discontinu ampicillin and contact th physician immdiatly i any sid ct occus (s WANINGS ).
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enterococcal strains that are ampicillin and vancomycin resistant vana or van b are frequently resistant to levofloxacin.