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Re: Surgical Prophylaxis for MVP From: ainsron (ainsron@sbcglobal.net) Tue Sep 19 08:39:00 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: SUI postpartum" Previous message: Kim Elise Goldman: "Re: Surgical Prophylaxis for MVP" In reply to: Kim Elise Goldman: "Re: Surgical Prophylaxis for MVP" Next in thread: DoctorJoe@aol.com: "Re: Surgical Prophylaxis for MVP" That is not correct, prophylaxis is indicated for TAH or Vag Hys, per ACOG guidelines for surgical site infections - endocarditis prophylaxis is another issue. It is not recommended for laparoscopy. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Kim Elise Goldman Sent: Tuesday, September 19, 2006 5:18 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Surgical Prophylaxis for MVP PS Abdominal surgery without entry into the aerodigestive tract is not an indication for endocarditis prophylaxis per AHA guidelines. (EG vag hyst indicated for prophylaxis but TAH probably not indicated.) Kim On Sep 19, 2006, at 7:44 AM, Joanne Bulley, MD wrote: > Hi folks, > > With a fair number of women who have MVP - without arrhythmia and with > the subtlest of murmur - when doing a TAH (or other hyst) would you > > a) standard prophylaxis with cefazolin (Ancef) > > b) MVP / lower cardiac risk prophylaxis with ampicillin? > > My hospital pre-printed orders for the cardiac prophylaxis suggests > just > Ampicillin. But it also suggests it is needed for MVP only if > there is > regurg or thickened leaflets. > > Many of these women have not told me about the MVP - and it comes up > when the pre-op RN at the hospital asks the question and then who > knows > where the echocardiogram (if any) was done - and I get the phone call > "she needs prophylaxis for MVP" > > What do you do in your institution? (I am always curious about how > folks > do things in different places around the globe - as there are so many > variations because a lot of what we do does not have "final" EBM > answers.) > > -- > Joanne Bulley, MD > Keene, NH, USA > Next message: ainsron: "Re: SUI postpartum" Previous message: Kim Elise Goldman: "Re: Surgical Prophylaxis for MVP" In reply to: Kim Elise Goldman: "Re: Surgical Prophylaxis for MVP" Next in thread: DoctorJoe@aol.com: "Re: Surgical Prophylaxis for MVP"

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