Re: pprom and antibiotics
From: art fougner, md (evsono@pipeline.com)
Mon Aug 8 13:38:38 2005
no ...
just my opinion ... i could be wrong.
art
At Mon, 8 Aug 2005, Richard Chudacoff, MD wrote:
>
>Would fetal gastroschisis change your management with PPROM?
>
>--
>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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--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
