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Re: Asymptomatic bacteriuria From: DoctorJoe@aol.com Fri Apr 21 00:36:04 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: VBAC and EFW" Previous message: ELLIETAZ@aol.com: "Re: VBAC and EFW" Maybe in reply to: Kathi Wilson, BHSc, RM: "Asymptomatic bacteriuria" Next in thread: Braun, R. Daniel: "Re: Asymptomatic bacteriuria" In a message dated 4/20/00 10:56:28 PM, elishyde@connix.com writes: >>I am very agressive with ASB - maybe I overtreat some patients - > >how do you treat ASB? What's your antibiotic of choice? (assuming no >resistent organisms) > >are you concerned re ampicillin-resistent ecoli? Do you, and others, try >to >avoid ampi use during pregnancy? > >what do folks do about GBS in the urine if low CFU? If you've documented ASB properly, you have a culture and sensitivity in hand. Use the most inexpensive, noninvasive (i.e. non-systemic, if possible) drug you can, from the list of susceptibles. If it happens to be ampicillin, so be it. If there is + GBS in the urine, then that implies a rather heavy colonization in vagina and rectum. Those people are declared "high risk" GBS-wise by most folks and treated accordingly. Joe P. Next message: DoctorJoe@aol.com: "Re: VBAC and EFW" Previous message: ELLIETAZ@aol.com: "Re: VBAC and EFW" Maybe in reply to: Kathi Wilson, BHSc, RM: "Asymptomatic bacteriuria" Next in thread: Braun, R. Daniel: "Re: Asymptomatic bacteriuria"

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