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Re: Vulvar MRSAFrom: ainsron (ainsron@sbcglobal.net)Mon Jul 25 13:42:52 2005
You're right. When I examine the patient, I usually take a swab, in case I don't see anything on the microscopic slides. I forgot to tell my medical assistant to discard it when I saw the trich. She was treated for a UTI by the ER a couple of weeks ago and developed the overgrowth of the MRSA because of that. However, now I have evidence that she is a carrier for this "terrible" pathogen that I really wish I didn't have. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel Braun Sent: Monday, July 25, 2005 11:29 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Vulvar MRSA Why did you do the vaginal culture? You asked the question that you don't want to know the answer to. On 7/25/05, Dr. Ainsworth <ainsron@sbcglobal.net> wrote: I saw a OB patient last week with a markedly erythematous vulva with multiple excoriations and linear ulcerations. She was positive for trichomonas and treated with Flagyl. I also did a routine vaginal culture that came back positive for MRSA. How would you treat it, Vancomycin? The hospital will go crazy unless I document clearance before labor. Would you do vaginal and nasal cultures?
--
R. Daniel Braun
Kinky for Governor
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