Re: Group B Beta strept screening

From: Efrain Ramirez (eramirez@icepr.com)
Fri Jan 28 13:37:08 2000


Luis , you know that I pay attention to CDC and ACOG guidelines--(see my threads about VBAC's)but I have a mind use it sometimes :-) -- Have you had a maternal death due to anaphyllaxis during labor? I haven't had a case of neonatal septic shock due to one shot of ampicillin. What's the real difference between been "right" in giving antibiotics to a lady who had a baby who died from GBS and the one who had colonization--treated-- and in the subsequent pregnancy she, at that magical moment at 35 weeks she is "negative" it's "wrong" to give it? As I said --I am biased-- and maybe wrong.

At Fri, 28 Jan 2000, Luis Sanchez-Ramos wrote: >
>At Fri, 28 Jan 2000, Efrain Ramirez wrote:
>
>>>If a patient of mine has once a GBS positive culture from either vagina/rectal or urine I'll give her antibiotics in her 12 subsequent deliveries<<
>
>Efrain:
>In other words, you won't pay attention to the CDC or ACOG guidelines!
>If the patient dies from penicillin anaphylaxis or the neonate dies from
>septic shock due to maternal antiobiotic administration, how would you
>defend giving a patient antibiotics unecessarily? Just because something
>"sounds" wrong that doesn't mean it is wrong. There are many thing like
>this in medicine.
>
>--
>Luis Sanchez-Ramos, MD
>

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




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