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Antibiotics

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rut | 15:32 Mon 14th Jan 2002 | Body & Soul
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If I have two things wrong with me, eg a septic cut and a throat infection, will the same set of antibiotics cure both? And if not, how does it know which problem to work on?
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It probably will. The factors that govern antibiotic effectiveness are distribution and sensitivity. If the bacteria in your throat are resistant to the antibiotic and those in your finger are not, then one will be cured and the other won't. Distribution is dependent on the site of infection. Some places in the body, such as the brain, have barrieirs to keep out unwanted substances, and this may keep out the antibiotic and so prevent it from working. Other sites with similar problems can be the urinary tract (too much fluid washing it away) the sinuses (slow blood supply) and the teeth (too much bone).
On average most sore throats are caused by viruses which are not affected by antibiotics anyway. A septic cut would normally be treated for possible Staphylococcal infection (eg with flucloxacillin) - this is not usually effective against throat bacteria. Other bacteria can cause septic cuts though so you could be prescribed something else which might kill throat bacteria.

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