Re: GBS
From: Efrain Ramirez (eramirezt@coqui.net)
Tue Aug 16 00:09:03 2005
I treat all “unknown GBS status” regardless of gestational age. I do
culture patients with previous + GBS – It’s always good to know present
status … same way as with patients with + GBS in urine early in
pregnancy – I do reculture urine – even though I will treat them anyhow
– and in that last approach I agree with CDC…
>At Mon, 15 Aug 2005, Larry Glazerman wrote:
>
>I wouldn't. If you're going to treat her, why culture at all during this
>pregnancy?
>
>--
>Larry R. Glazerman, MD
>Ob-Gyn at Trexlertown, PC
>610-402-0161
>l.glazerman@rcn.com
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E.
>Siegel, M.D.
>Sent: Monday, August 15, 2005 9:00 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: GBS
>
>I'm not, but I think Efrain's case refers to someone over 37 weeks, GBS
>unknown this pregnancy, but GBS positive (carrier only) last pregnancy.
>
>I would likely treat that patient, also, although counter to ACOG and
>CDC.
>
>Garry
>
>At Mon, 15 Aug 2005, Larry Glazerman wrote:
>>
>>CDC recommends treating "unknown" GBS based on risk factors. One risk
>factor
>>is <37 weeks, so the CDC recommendations would support treating unknown at
>><37 weeks.
>>
>>Are you folks treating unknown GBS at >37 weeks without other risk factors?
>>That would be contrary to CDC and ACOG guidelines
>>
>> _____
>>
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>>Len2976@aol.com
>>Sent: Monday, August 15, 2005 11:34 AM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: GBS
>>
>>In a message dated 8/14/2005 3:39:35 PM Eastern Daylight Time,
>>eramirezt@coqui.net writes:
>>
>>I have been critized fittingly, by treating "unknown GBS status"
>>- also ---once positive for GBS - always treat regardless of future
>>"negative" cultures
>>
>>In our facility we ALL would have treated this patient. First because she
>>was less than 37 weeks and second because the GBS status was unknown. I
>>know CDC does not advise treating patients with "unknown GBS status, " but
>>every provider in our facility does exactly that.
>>
>>Lenora McCall, CNM
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>
--
"Character may be manifested in the great moments, but it is made in the
small ones."
- Phillip Brooks
~walt whitman~
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