Re: Prophylactic antibiotics at csection

From: ainsron (ainsron@sbcglobal.net)
Fri Mar 26 09:02:26 2004


The problem with that argument is that we already have 1/3 of our infants on antibiotics for GBS prophylaxis before delivery. That really hasn't altered pediatric care. On the other hand I always give after cord clamping, go figure!

Ronald E. Ainsworth

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr Eberhard W Lisse Sent: Thursday, March 25, 2004 7:58 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Prophylactic antibiotics at csection

Ask the pediatricians :-)-O

This is done so that the infant doesn't get any A/B to confuse them.

el

In message <69267EDE7E5FD511BD8800D0B785B04A03D7571B@fsfxsb10>, Elrod Glen Maj 3 MDG/SGOB writes: >
> The newest ACOG technical bulletin on prophylactic antibiotics in Ob/Gyn
> states that prophylactic antibiotics are acceptable for csections.
> According to this it is "most commonly given after cord clamp."
>
> Having just sat on a meeting of our infectious disease board reviewing
> postoperative infectinos and cs infections specifically, I could not come
up > with nor find a rational reason to wait until after cord clamp if the idea
> was to prevent surgical infection.
>
> For gyn surgery, most commonly these are given 30 minutes before the case.
> Can someone help with a reason for the difference?
>
> Glen
>





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