OB-GYN-L Messages for January, 2005: Re: GBS

Re: GBS

From: ainsron

ainsron@sbcglobal.net

Wed Jan 19 07:45:17 2005

Ronald E. Ainsworth

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod Darryl G MAJ 48 MDOS/SGOBO Sent: Tuesday, January 18, 2005 11:49 PM To: Multiple recipients of list OB-GYN-L Subject: GBS

Just to follow with this one. Are most people getting sensitivities for GBS in patients allergic to pcn?

D. Glen Elrod, Maj USAF, MC Obstetrician/Gynecologist Maternal Child Flight 48 MDOS/SGOBO UNIT 5210 Box 23 APO, AE 09464 DSN (314) 226-8334 Comm 01638-52-8334

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-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Anna Meenan, MD Sent: Wednesday, January 19, 2005 3:15 AM To: Multiple recipients of list OB-GYN-L Subject: Re: 32 week PROM Recent Herpes outbreak 30182261 - HOT SILVER METALLIC HOBO P...

You forgot to add the increasing incidence of antibiotic resistance in our hospitals. Our hospital has a standing order for beta-strep positivity that includes penicillin, and then a second standing order to change the order for penicillin to ampicillin, because penicillin is never available.

Anna Meenan, MD

At Tue, 18 Jan 2005, Garry E. Siegel, M.D. wrote: >
>Kay:
>
>I respectfully submit that those Obstetricians and midwives are
>practicing below the standard of care, not beyond it. If you will
>accept that the CDC and ACOG "know" more than the average practitioner,
>then why are they so smart to do counter to that which is recommended?
>
>Your presence and discussion in this forum demonstrate your thirst for
>learning and your desire to practice in an informed manner. Use this
as >a springboard to educate others. Lead, do not follow here. (We miss
>Zach, so I had to try to emulate him :)).
>
>Comments below.
>
>Garry
>
>>I've just conducted a mini survey among several doctors and midwives
and the consensus is that everyone DOES give antibiotics in this case. The reasons are >>
>>1. The beta-strep is often positive.
>
>30% across the board is the approximate colonization rate. Often????
>
>>2. There's no harm in giving penicillin.
>
>Kay, there sure can be, including but not limited to: antibiotic
colitis >in the baby, anaphylaxis in the mother. . .again, uncommon but if you
>have a complication due to an unnecessary treatment, you've done the
>wrong thing.
>
>>3. The pediatricians will treat the baby as a positive baby and will
order all lab tests including blood cultures, mandate a 2 day stay and will start antibiotics with any slight deviation from normal. >
>I just discussed this with our head nurse at North Fulton. Nowhere in
>the guidelines should the OBSTETRIC management be dictated by the
>presumed neonatal management.
>
>Kay, practice good medicine according to national accepted standards,
>and you'll be OK.
>
>Garry
>
>>--
>>Kay Johnson, CNM
>>Atlanta, GA
>>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
>>"Life is too important to be taken seriously."
>>Oscar Wilde
>>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
>>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

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