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The penicillins, including penicillin, amoxicillin, and ampicillin, are most effective against gram-positive bacteria such as streptococcus species; therefore, for the same reasons as those given above, these antibiotics are not a good first choice for most bacterial infections in fish.
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• If you find that you are seeing more upper respiratory infections, more skin disease, or anything else that indicates a decrease in immune function it would be a good idea to discuss this with your vet.
• Moxifloxacin (avelox), is a human drug of this group and has been used on a limited basis for treatment of infections in dogs and cats caused by bacteria that have been refractory to other drugs.
• Azasite (inspire pharmaceuticals, durham, nc), a new medication that has both anti-inflammatory and anti-infective activity, can simplify the regimen for patients while also reducing side effects associated with steroid use, such as rise in iop and cataract on long-term use.
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• Susceptibility tests dilution techniques quantitative methods are used to determine antimicrobial minimal inhibitory concentrations (mic's).