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Re: pprom and antibioticsFrom: ainsron (ainsron@sbcglobal.net)Mon Aug 8 10:55:12 2005
When I've discussed similar scenarios with our perinatologists, they want the patient on antibiotics until the GBS culture returns, then if negative discontinue. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard Chudacoff, MD Sent: Monday, August 08, 2005 8:30 AM To: Multiple recipients of list OB-GYN-L Subject: pprom and antibiotics I have a question, which Bob Carpenter and I have discussed, but I wanted the groups opinion. 18 yo G1 at 35 weeks, PPROM. Started on Amp and Erythromycin prophylactically, but could not tolerate the Erythro, so this was stopped. GBS came back negative. Patient is now 36 weeks. My question is, in the face of data that shows in increase in resistance and necrotizing enterocolitis with ampicillin, Unasyn or Augmentin without erythromycin, would you continue the ampicillin? Now, let's add the fact that the baby has gastroschisis.what would your antibiotic option be? Richard Chudacoff, MD, FACOG Women's Specialists of Houston 6624 Fannin Suite 1800 Houston, TX, 77030 713-797-1144 713-425-3071 Email: Richard.Chudacoff@obgyn.net rchudacoff.md@womenspecialists.com This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of the messages is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the e-mail address or telephone number above and delete this e-mail from your computer.
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