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PseudomonasFrom: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)Sun Jul 1 01:50:36 2007
Group, I have a 32 yo G4P2012 at 36+1 wks with pseudomonas in her urine. She had this previously and it was multidrug resistant and she was admitted for gent and found to be allergic. It has since returned with sensitivity this time to amikacin, ceftazidime, cipro, tobramycin, meropenem, zosyn. She is essentially asymptomatic now. She says she has an feeling like something might be going on with her bladder, but she denies fever, chills, back pain, frank dysuria. She has been seen this week for irregular contractions without cervical change. What would you do? Admit for IV? Go with cipro since it is the only po drug on the list, knowing its potential risk? Deliver and let ID handle her and peds handle the baby? Thanks, Glen
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