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Re: GBS scenarioFrom: Braun, R. Daniel (rbraun@iupui.edu)Fri Feb 11 07:38:16 2005
I would use the old "Noose around the Intern's neck" treatment. Dan R. Daniel Braun, MD "If everyone likes you, you're doing something wrong." Kinky Friedman I believe a self-righteous liberal or conservative with a cause is more dangerous than a Hell's Angel with an attitude. Andy Rooney -----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: Friday, February 11, 2005 6:55 AM To: Multiple recipients of list OB-GYN-L Subject: RE: GBS scenario I understand that the colonization can come and go, but using that logic if you got a positive test at 36 wks and your intern happened to get another one at 37 wks that was negative, which would you use? I just reread the ACOG statement and the UptoDate link and it does say that the 35-37 wk if negative is the one to use. Glen 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 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this Email and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This document may contain information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. Healthcare information is personal and sensitive and must be treated accordingly. See <https://sg.usafe.af.mil/HIPAADisclosure.cfm> for full details. _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Braun, R. Daniel Sent: Friday, February 11, 2005 11:46 AM To: Multiple recipients of list OB-GYN-L Subject: RE: GBS scenario Better question: Why was she inappropriately cultured at 34 weeks? R. Daniel Braun, MD "If everyone likes you, you're doing something wrong." Kinky Friedman I believe a self-righteous liberal or conservative with a cause is more dangerous than a Hell's Angel with an attitude. Andy Rooney -----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: Friday, February 11, 2005 3:55 AM To: Multiple recipients of list OB-GYN-L Subject: RE: GBS scenario Why was she retested again in the first place? 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 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this Email and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This document may contain information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. Healthcare information is personal and sensitive and must be treated accordingly. See <https://sg.usafe.af.mil/HIPAADisclosure.cfm> for full details. _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of DoctorJoe@aol.com Sent: Friday, February 11, 2005 2:14 AM To: Multiple recipients of list OB-GYN-L Subject: Re: GBS scenario In a message dated 2/10/05 4:42:25 PM, eramirezt@coqui.net writes: You have a positive GBS rectovaginal culture done (for whatever reasons)at 34 weeks - a reculture done at 36 weeks comes out negative - Urine culture negaive - would you treat if she comes into labor at 37 weeks? By the book, she's negative, so no (unnecessary) treatment. Remember - it just leads to resistant microbial flora in the population and difficult infections down the road. For your coronary arteries (and your insurance carrier), probably treat. Joe P.
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