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Re: tb testingFrom: Braun, R. Daniel (rbraun@iupui.edu)Wed Feb 19 11:46:15 2003
WE screen recent Immigrants. -----Original Message----- From: Charlie Chambers [mailto:cchamber@gorge.net] Sent: Wednesday, February 19, 2003 1:20 PM To: Multiple recipients of list OB-GYN-L Subject: Re: tb testing Also wanted to know who people are electing to screen. We're arguing over universal screening vs. selected screening. The ACOG "guidelines for perinatal care" suggest targeted screening only, Anyone have a different experience or opinion? Thanks On Saturday, February 15, 2003, at 08:38 AM, DoctorJoe@aol.com wrote: In a message dated 2/15/03 10:31:05, cchamber@gorge.net writes: Question for the group. My practice is discussing the implementation of PPD testing in our pregnant patients. We've discussed the merits of universal screening versus targeted screening in asymptomatic patients. I was wondering about others approach to this problem. Our community not so much our practice does have a sizable migrant worker population that has a relatively high frequency of TB. In addition, are you electing to proceed in the workup (i.e. Chest Xray) with any PPD+ patients during pregnancy versus waiting till after delivery I think the usual protocol is to get an x-ray and if negative, treat after delivery. If the x-ray is positive for active disease, then treat DURING pregnancy, since neonatal disease is possible. Joe P. ************************************************************************ ****=20 Charlie Chambers=20 Hood River, OR cchamber@alumni.rice.edu "Almost anything you do will seem insignificant but it is very important that you do it....You must be the change you wish to see in the world" -- Mahatma Ghandi. ************************************************************************ *******=20 =20
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