|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Group B Beta strept screeningFrom: Robert J. Carpenter, Jr. MD (zygote@icsi.net)Sat Jan 29 17:55:59 2000
> Date: Fri, 28 Jan 2000 14:38:09 -0600 > Reply-to: ob-gyn-l@obgyn.net > From: eramirez@icepr.com (Efrain Ramirez) > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> > Subject: Re: Group B Beta strept screening You don't have to have a maternal death to have bad outcome. Pt with chorio treated with IV unisyn, acute anaphylactis with shock, decreased perfusion. Finally delivered by c/section for her infection/status of fetus. Also you haven't lived until you have anaphylactis in the field with a military unit. Dan has put some good commetns to this thread as to resistance issues. Also some data is being developed that suggests that the incidence of late onset GBS disease is increasing. If the tenative data I have seen, is expanded and duplicated it will critically focus attn on the question of whether we have ever done the correct thing with respect to this "disease" Remember George McCracken at UTSW had similar death rates from infectious disease when im PCN used to prophylaxis GBS neonatal disease, the bugs in the PCN group were atypical but deadly. The progress of medicine is sometimes not progress at all.
> 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.
> R.J Carpenter, Jr. 6624 Fannin, #2720 Houston,TX 77030-2339 713-795-4600
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 04:43:29 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.