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Re: Prophy ABX for Elective C/S was Re: No Posts! From: Myer Bornstein (mborn@massmed.org) Thu Nov 29 10:18:19 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Previous message: art fougner, md: "Re: Prophy ABX for Elective C/S was Re: No Posts!" In reply to: R. Daniel Braun: "Prophy ABX for Elective C/S was Re: No Posts!" Next in thread: art fougner, md: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Reply: art fougner, md: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Reply: Dr Eberhard W Lisse: "Re: Prophy ABX for Elective C/S was Re: No Posts!" The problem is that in Massachusetts MassHealth has started a P4P program the 2 OB criteria are Testing for GBS and treating according to protocol and pre-op antibiotics for C/Sections Myer _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel Braun Sent: Wednesday, November 28, 2007 8:06 PM To: Multiple recipients of list OB-GYN-L Subject: Prophy ABX for Elective C/S was Re: No Posts! What is your infection rate on elective sections who don't get antibiotics? If it is less than 5%, giving prophylactic antibiotics is probably not justified. In a healthy upper S-E population, and with a surgeon who handles tissue gently and hardly ever takes more than 25 minutes, less than 5% puerperal morbidity should be expected without antibiotics. Dan On Nov 28, 2007 5:10 PM, Andrew Folley <agfolley@hotmail.com> wrote: No we do not. My understanding is it is not necessary. However we are doing surgical antibiotic prophylaxis on all c-sections elective and emergency. agf <http://www.windowslive.com/connect.html?ocid=TXT_TAGLM_Wave2_newways_112007 > -- 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 Next message: art fougner, md: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Previous message: art fougner, md: "Re: Prophy ABX for Elective C/S was Re: No Posts!" In reply to: R. Daniel Braun: "Prophy ABX for Elective C/S was Re: No Posts!" Next in thread: art fougner, md: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Reply: art fougner, md: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Reply: Dr Eberhard W Lisse: "Re: Prophy ABX for Elective C/S was Re: No Posts!"

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