Re: GBS

From: R. Daniel Braun (rd.braun@gmail.com)
Wed Nov 28 16:48:24 2007


In prescreening days, the serious infection rate was 1 per 2000 deliveries and the infestation rate was 20%. So, based on that data one would need to screen 2000 patients and treat 400 to prevent one serious infection.

let me see, Screen costs at least $50 and treatment at least $500. 2000 X's 50 = 100,000 and 400 X's 500 200,000. That means it costs somewhere around $300,000 to prevent 1 case of severe infection. That doesn't take in to account the complications of treating with Penicillin (allergic reactions, medication errors, etc.) or of those who improperly treat with Ampicillin (creating resistant strains of other organisms), etc.

Hmmmm!

Dan

On Nov 28, 2007 6:10 PM, James Lie <splaz@cyllene.uwa.edu.au> wrote:

> I have not been able to find data regarding GBS screening in regards to
> the number needed to treat. Can someone help me out please.
>
> James Lie
> Albany
> Australia
>
> FRANCES WREN wrote:
> > I guess we have been doing it routinely regardless...
> > and now that you mention it..it seems unecessary and foolish...yet
> > another unecessary test.
> > frances wren
> >

>> > ----- Original Message -----
> > From: Douglas Krell <dkrell@msn.com>
> > Date: Wednesday, November 28, 2007 1:12 pm
> > Subject: RE: No Posts!
> > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> >
> > > Here's a quick question for the group.
> > > Is anyone doing GBS testing on their patients
> > > planning elective C-section?
> > >
> > > Douglas Krell MD
>

--
R. Daniel Braun, MD  FACOG(L)  CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

R. Daniel Braun

"Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941





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