Re: list 1114: mult topics

From: Geffrey Klein (GK6972@americanmed.com)
Tue Jul 29 11:34:53 1997


I would use clinda in the pen allergic patient. If not pen allergic, I would use Pen G load with 2.4 million units IV and then 1.2 million units iv q hr hr until delivery.

New questions..

1) If a patient has been treated for carriage state in a prior pregnancy would you treat her in subsequent pregnancies? Would you even culture her? If you did and she was negative would you not treat her?

2) If a GBS neg mom is ruptured 18+ hrs, would you treat her?

--
Geffrey H. Klein, MD
Department of Obstetrics and Gynecology
MacGregor Medical Association
Clear Lake OB Office
2200 Nasa Road One Suite 200
Houston, Texas 77058
713 741 2273  x2628

>Group B Strep >We do the R/V culture on specific GBBS media at 36 weeks (even if history >of GBBS or planned C/S). Treat with Amp in labor or Clindamycin as G Klien >wrote. I'm not certain why Amp was chosen rather than Pen - I wasn't >present at the discussions...





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