--
Richard Chudacoff, MD
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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
rmodugno@aol.com
Sent: Monday, August 08, 2005 1:17 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: pprom and antibiotics
Not sure why you're not delivering this patient with pprom at 36 weeks.
Robert Modugno MD MBA FACOG
Marietta, GA
-----Original Message-----
From: Richard Chudacoff, MD <rchudacoff@mylinuxisp.com>
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
Sent: Mon, 8 Aug 2005 10:29:53 -0500
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
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