Re: Prophylactic antibiotics at csection

From: Elrod Glen Maj 3 MDG/SGOB (Glen.Elrod@ELMENDORF.af.mil)
Tue Mar 30 15:33:14 2004


3 doses? Isn't that more than prophylaxis?

Glen

D. Glen Elrod, Maj, USAF, MC Medical Director Women's Health Center Elmendorf AFB, AK 99506

-----Original Message----- From: dpriver@aol.com [mailto:dpriver@aol.com] Sent: Tuesday, March 30, 2004 8:12 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Prophylactic antibiotics at csection

Garry, Not based upon anything scientific, but I assume the PCN will not provide adequate surgical prophylaxis, so I give my usual 3 doses of Ancef when such a patient goes for CS. DMP At Fri, 26 Mar 2004, Garry E. Siegel, M.D. wrote: >
>I doubt any of us will see a change--the number of wound infections is
>small, so it would take a large sample to see a difference.
>
>Curiously, when a laboring patient at term is GBS positive, and getting
>antibiotics (Penicillin in this example), what do you do when they go to
>section:
>
>1. Assume the Penicillin has been sufficient for prophylaxis?
>2. Use your normal prophylactic antibiotic?
>3. Other?
>
>Garry
>
>At Fri, 26 Mar 2004, Elrod Glen Maj 3 MDG/SGOB wrote:
>>
>>Have you noticed any change in your wound infection rates?
>>
>>Glen
>>
>>D. Glen Elrod, Maj, USAF, MC
>>Medical Director
>>Women's Health Center
>>Elmendorf AFB, AK 99506
>>
>>-----Original Message-----
>>From: RModugno@aol.com [mailto:RModugno@aol.com]
>>Sent: Friday, March 26, 2004 6:02 AM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: Prophylactic antibiotics at csection
>>
>>At Northside Hospital where Gary, Brick and I practice (16,000+ births
>>annually), the antibiotic is given prior to skin incision. The peds gave
up >>bitchin'/moanin' long ago.
>>
>>Robert Modugno MD MBA FACOG
>>Marietta, GA
>>http://www.novaobgyn.yourmd.com
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>





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