Re: Chlamydia in pregnancy

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Mon Jul 26 08:53:09 2004


As an outpatient or inpatient?

--
Richard Chudacoff, MD

Beer is living proof that God loves us and wants us to be happy.

Benjamin Franklin

Heaven grant that the burden you carry may have as easy an exit as it had an entrance. [Prayer To A Pregnant Woman] -Desiderius Erasmus

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. Sent: Friday, July 23, 2004 9:32 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Chlamydia in pregnancy

At Fri, 23 Jul 2004, Richard Chudacoff, MD wrote: > >15 yo G1 at 28 weeks EGA. Positive Chlamydia at NOB. Treated with Zithromax >pills, which she threw up the after 4 hours. Then treated with Zithromax >powder, at night. Threw up in the morning. Positive test of cure. Treated >with Amoxicillin for 10 days; still positive test of cure. Patient swears >that she is not currently sexually active. Mother, who NEVER leaves her side >says that since they moved from San Antonio, because her daughter got >pregnant there, says she is not sexually active. CANNOT get Mom out of the >room to examine the patient, either. Any recommendations for treatment of >persistent Chlamydia? > >-- >Richard Chudacoff, MD > >Beer is living proof that God loves us and wants us to be happy. > > <http://www.brainyquote.com/quotes/quotes/b/benjaminfr109859.html> Benjamin >Franklin > >Heaven grant that the burden you carry may have as easy an exit as it had an >entrance. > >[Prayer To A Pregnant Woman]

> >- <http://www.brainyquote.com/quotes/quotes/d/desiderius148996.html> >Desiderius Erasmus >

Erythromycin 500mg I.V Q 6hrs. X7 days, not the first time I have done it for teenage Moms, I have had them become -ve for chlamyidia only to return +ve 2 weeks prior to term. CDC guidlines point out lots of false +ves in non amplified tests. http://www.cdc.gov/std/treatment/4-2002TG.htm#Chlamydia

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                                 Take care, John




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