Micro & Immunology · single question

A patient's antibiotic for a dental abscess did not resolve the infection. Most appropriate next step?

  1. Switch antibiotic empirically
  2. Culture and sensitivity testing
  3. Immediate extraction
  4. Higher dose of same antibiotic
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Correct answer: B. Culture and sensitivity testing

Culture and sensitivity testing identifies the causative organism and effective antibiotics when initial treatment fails.
  • A. ❌ Empiric switching may not resolve the infection if an unusual resistant organism is present.
  • B. ✅ CORRECT – C&S testing identifies the organism and susceptibility for targeted treatment.
  • C. ❌ Extraction may be needed eventually but C&S testing should guide the approach.
  • D. ❌ Higher dosing without identifying organism may be ineffective if bacteria are resistant.

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