Re: GBS

From: art fougner, md (evsono@pipeline.com)
Thu Nov 29 07:14:22 2007


Good point, EL. Colonization rates certainly differ within different patient populations. The a priori risk surely influences the predictive value of the test.

Art

At Thu, 29 Nov 2007, Dr Eberhard Lisse wrote: >
>Given the US Maternal Mortality figures, would it be possible,
>perhaps, to calculate this figures for white and black patient
>populations as well?
>
>Hmm indeed.
>
>el
>
>on 11/29/07 3:02 AM R. Daniel Braun said the following:
>> 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

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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