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Re: Group B Beta strept screening From: Efrain Ramirez (eramirez@icepr.com) Sat Jan 29 10:38:19 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: John Robertson MD: "Re: GYN: AdenoCa in situ, Cervix, pregnant" Previous message: Braun, R. Daniel: "Re: Estrogen Mask" In reply to: Luis Sanchez-Ramos: "Re: Group B Beta strept screening" Next in thread: Luis Sanchez-Ramos: "Re: Group B Beta strept screening" Reply: Luis Sanchez-Ramos: "Re: Group B Beta strept screening" Luis -- I am sure you did not mean that I take this issue as a "laughing matter". At Sat, 29 Jan 2000, Luis Sanchez-Ramos wrote: > >At Fri, 28 Jan 2000, Efrain Ramirez wrote: > >>>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<< > >Just because you haven't had a case of anaphylactic reaction to >penicillin doesn't mean it doesn't exist. You can continue to give >penicillin unnecessarily...I'm sure that there are other medications you >and probably all of us give without a proper indication. The argument >here is whether or not it is recommended to give antibiotics to a >patient who in a previous pregnancy was GBS+ but in the current one is >GBS-. The guidelines suggest no need to treat these patients unless >they have had an affected neonate. Perhaps you should treat every >patient with penicillin since if they are GBS- it could be a false >negative test (that is more frequent than penicillin anaphylaxis). The >issue of neonatal infections due to penicillin administration >antenatally is no laughing matter. There are several studies >documenting this problem. > >LSR -- "The things you learn after you know everything are the important ones" Next message: John Robertson MD: "Re: GYN: AdenoCa in situ, Cervix, pregnant" Previous message: Braun, R. Daniel: "Re: Estrogen Mask" In reply to: Luis Sanchez-Ramos: "Re: Group B Beta strept screening" Next in thread: Luis Sanchez-Ramos: "Re: Group B Beta strept screening" Reply: Luis Sanchez-Ramos: "Re: Group B Beta strept screening"

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