USES OF CHLORAMPHENICOL
1) H. Influenza Meningitis-
Chloramphenicol is highly efficacious and it has excellent penetrability into CSF.
2) Intraocular Infections-
Chloramphenicol given systemically attains high concentration in ocular fluids. It is the preffered drug for endophthalmitis caused by sensitive organism.
3) Topically-
In conjunctivitis, external ear infection chloramphenicol 0.5-5.0%is highly effective.
4) Enteric Fever-
Till recently chloramphenicol was the drug of choice for typhoid fever. Chloramphenicol does not prevent or cure carrier state.
5) Anaerobic Infections-
It is effective in anaerobic infections caused by Bact. fragilis and other wound infections and brain abscesses.
6) As second choice drug-drug-
a) To Erythromycin - for whooping cough.
b) To tetracycline- for brucellosis and rickettsial infections especially in children and pregnant women in whom tetracycline are contraindicated.
c) To penicillin- for meningococcal or pneumococcal meningitis.
d) To cotrimoxazole-for shigella dysentry enteritis.
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