Second-generation immigrants are more educated compared to first generation immigrants, exceeding parental education in many instances. A greater percentage of second-generation immigrants have obtained a level of education beyond a high school diploma, with 59.2% having at least some college education in 2009.
Note the following: One typical oral antibiotic regimen is a combination of ciprofloxacin (or trimethoprim-sulfamethoxazole) and metronidazole. Moxifloxacin is appropriate monotherapy for outpatient treatment of uncomplicated diverticulitis. Amoxicillin/clavulanic acid monotherapy is acceptable as well.
Cellulitis in a patient with neutropenia requires empiric antipseudomonal antibiotics (eg, tobramycin 1.5 mg/kg IV q 8 h and piperacillin 3 g IV q 4 h) until blood culture results are available. A patient with mild cellulitis caused by mammalian bites can be treated as an outpatient with amoxicillin /clavulanate (if penicillin allergic, with a fluoroquinolone plus clindamycin or trimethoprim /sulfamethoxazole).