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Re: Vulvar MRSA From: ainsron (ainsron@sbcglobal.net) Tue Jul 26 09:14:09 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: Vulvar MRSA" Previous message: art fougner, md: "Re: Vulvar MRSA" In reply to: Robert J. Carpenter, Jr. MD: "Re: Vulvar MRSA" Next in thread: Robert J. Carpenter, Jr. MD: "Re: Vulvar MRSA" Reply: Robert J. Carpenter, Jr. MD: "Re: Vulvar MRSA" She is 15 weeks. It is sensitive to Bactrim and that is what I plan to treat with. It's also sensitive to Gentamycin, Rifampin, Vancomycin, Linezolid and Moxifloxacin. Resistant to TCN, Cefazolin, Emycin, Oxacillin, and intermediate to Levofloxacin. Is Faro an OB/Gyn ID specialist? Where's he at? Thanks for the suggestions. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Robert J. Carpenter, Jr. MD Sent: Tuesday, July 26, 2005 4:33 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Vulvar MRSA Treatment with Bactrim DS, Cleocin, before delivery are reasonable. Postdelivery depending on degree of infection then Tetracyclines work. What is her gestational age. You can call Seb FAro at 713-799-8994. What are the in vitro sensis On 25 Jul 2005 at 13:55, ainsron wrote: > I haven't even had a chance to talk to her yet, I was gone the end of > last week and the culture was sitting on my desk today. She had an > appointment today, but cancelled it because she had to go out of town. > I'll have her call me when she gets back. I wish an ID consult was > an option, there are none in Northern CA, she would have to go 90+ > miles to Sacramento. > > Ronald E. Ainsworth, MD, FACOG > > -----Original Message----- > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of > RModugno@aol.com Sent: Monday, July 25, 2005 11:39 AM To: Multiple > recipients of list OB-GYN-L Subject: Re: Vulvar MRSA > > In a message dated 7/25/2005 12:43:34 PM Eastern Standard Time, > ainsron@sbcglobal.net writes: > > 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? > > This patient needs hospitalization, aggressive IV antibiotics, with > I.D. consultation. > > Know of 2 patients at our hospital with MSRA secondarily infectied > vulvar ulcerative disease ( one from HSV) She subsequently had to have > a hindquarter amputation! > > Is your patient doing OK? > > Robert Modugno MD MBA FACOG > > Marietta, GA > Robert J. Carpenter, Jr. MD 6624 Fannin, #2720 St. Luke's Medical Tower Houston,TX 77030-2339 713-795-4600 Next message: ainsron: "Re: Vulvar MRSA" Previous message: art fougner, md: "Re: Vulvar MRSA" In reply to: Robert J. Carpenter, Jr. MD: "Re: Vulvar MRSA" Next in thread: Robert J. Carpenter, Jr. MD: "Re: Vulvar MRSA" Reply: Robert J. Carpenter, Jr. MD: "Re: Vulvar MRSA"

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