Re: Group B Beta strept screening

From: Efrain Ramirez (eramirez@icepr.com)
Thu Jan 27 21:13:48 2000

Ron---- you are saying that with a previous GBS positive culture you wouldn't treat?---Give me a break--some questions --same lab-same broth--what GA 34-35-36 weeks?? Previous GBS--urine? vagina?----Ron you will have a very hard time explaining a neonatal death because of your "guidelines".

At Thu, 27 Jan 2000, ainsron@msn.com wrote: >
>At Thu, 27 Jan 2000, Jim Connerth wrote:
>>
>>No need to screen-assume colonization and Rx in labor---
>>
>Not true. The CDC guidelines say treat in labor if previous affected
>pregnancy (neonate with GBS sepsis), not if colonized in a previous
>pregnancy. So if you strictly adhere to the CDC guidelines, previously
>colonized patients should be cultured each time and treated only if
>positive. I have to admit though, I usually treat any previously
>positive patient as though she is always positive. The patients are
>usually anxious about the previous result.
>
>--
>Ronald E. Ainsworth, MD
>

--
"The things you learn after you know everything are the important ones"



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