-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: MRSA after a c/section-scary From: Doc Peró (pero@fibertel.com.ar) Tue Oct 30 16:51:00 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: mark decker: "Re: Ohio Supreme Court overturns state's largest medical" Previous message: OBGYN.net Newsletter: "FDA releases new thimerosal, mercury and latex-free flu vaccine" In reply to: Meenan, Anna: "Re: MRSA after a c/section-scary" Next in thread: DoctorJoe@aol.com: "Re: MRSA after a c/section-scary" Interesting Anna, last August visiting Vancouver BC, went to VGHospital. Everywhere you see signs saying WASH YOUR HANDS! Beside every single bed same thing, and most important washing facilities. So thereīs no way to avoid it. The px see his/her doctor doing it BEFORE being examinated. With this simple measure, infection rate has drop well beyond expectations. Of course px can and do refuse to be exam. if doctor donīt wash his/her hands. Regards.Jorge. -----Mensaje original----- De: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] En nombre de Meenan, Anna Enviado el: Lunes, 29 de Octubre de 2007 03:38 p.m. Para: Multiple recipients of list OB-GYN-L Asunto: Re: MRSA after a c/section-scary Interesting, Art. Oh, and can we please wash our hands more? My niece is a patient at a very prestigious hospital in LA-LA land, with PPROM at 25 weeks, and NO ONE is washing their hands when they come into her room to do patient care activities. I told her to put up a sign that says "My paranoid aunt in Illinois wants to know: Did you wash your hands?" Anna Meenan, MD >Man's best friend? >http://www.azcentral.com/news/articles/1028staphinpets.html > >Art > >At Sun, 28 Oct 2007, Meenan, Anna wrote: >> >>I'm pretty sure it's increased incidence, Betsy. I NEVER saw MRSA >>outside the hospital or nursing home until 2 or 3 years ago and have >>seen LOTS of it since then. A small pimple or folliculitis I would >>say observe, maybe put polysporin or bactroban on it, but anything >>that reaches a size that could be I&D'd should be I&D'd. I believe >>the recommendation is not to use antibiotics once it's been drained, >>as that is usually curative, but if there is any significant >>surrounding cellulitis, I usually start Bactim. If the patient is >>near term and Bactrim is contra-indicated, vanco or gent can be used, >>though they will have to be admitted for IV treatment. >> >>I agree with Steve, the swelling in the incision should have been >>I&D'd the first time it was noted, and with temps of 103, the pt. >>should have been in the hospital. >> >>Anna Meenan, MD >> >>>On Oct 28, 2007, at 12:31 PM, Meenan, Anna wrote: >>> >>>> If a boil on a healthy 12-year-old kid can be MRSA, why not a >>>>swelling in a post-op wound? >>>> >>>I don't know if the increased reporting on community-acquired MRSA >>>represents increased incidence or just increased >>>recognition/reporting. >>> >>>I know that I frequently have patients who complain of a pimple or >>>folliculitis. If there is not a large area of induration, I just >>>tell them to use warm soaks and otherwise leave it alone. If >>>community aquisition of MRSA is increasing, should there be greater >>>investigation of these lesions? >>> >>>What are others doing? >>> >>>Betsy Hyde CNM >>>Branford, CT > >-- >art fougner, md >"May The Wings of Liberty Never Lose a Feather." - Jack Burton __________ NOD32 2622 (20071028) Information __________ This message was checked by NOD32 antivirus system. http://www.eset.com Next message: mark decker: "Re: Ohio Supreme Court overturns state's largest medical" Previous message: OBGYN.net Newsletter: "FDA releases new thimerosal, mercury and latex-free flu vaccine" In reply to: Meenan, Anna: "Re: MRSA after a c/section-scary" Next in thread: DoctorJoe@aol.com: "Re: MRSA after a c/section-scary"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:47:51 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.