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Re: Group B Beta strept screening From: Larry Glazerman (l.glazerman@rcn.com) Mon Jan 31 06:32:13 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: Group B Beta strept screening" Previous message: croure@ibm.net: "Re: Vaginal Delivery of twins" In reply to: Efrain Ramirez: "Re: Group B Beta strept screening" Next in thread: Efrain Ramirez: "Re: Group B Beta strept screening" I would also treat, BUT, if you're strictly adhering to the CDC guidelines, what has been said is true - a previous positive CULTURE is not an indication for treatment. At 10:15 PM 1/27/00 -0600, you wrote: >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" -- Larry R. Glazerman, MD Ob-Gyn at Trexlertown 610-402-0161 l.glazerman@rcn.com Next message: Larry Glazerman: "Re: Group B Beta strept screening" Previous message: croure@ibm.net: "Re: Vaginal Delivery of twins" In reply to: Efrain Ramirez: "Re: Group B Beta strept screening" Next in thread: Efrain Ramirez: "Re: Group B Beta strept screening"

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