Re: Term PROM

From: ainsron (ainsron@sbcglobal.net)
Fri Oct 19 10:38:18 2007


My preference is clindamycin, but that is also why we should be doing sensitivities on that group of women, the same choice may not fit all.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew Folley Sent: Friday, October 19, 2007 4:23 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Term PROM

What are the thoughts on IV clindamycin or erythromycin for penicillin allergic woman with +GBS?

> Date: Thu, 18 Oct 2007 19:20:44 -0500
> From: elishyde@mindspring.com
> To: ob-gyn-l@dns.obgyn.net
> Subject: Re: Term PROM
>
> On Oct 18, 2007, at 5:24 PM, Efrain Ramirez wrote:
>
> > Well - in our community-- we haven't decided yet .. what would you do?
>
> We use the hospital lab for GBS. We also call the woman for any
> positive cultures.
> One of the things the hospital lab is doing is running a PCR on all
> negative cultures. It's more sensitive than culture, but obviously
> doesn't provide sensitivities. For our PCN allergic patients this
> is a big problem, and generally results in the woman getting vanco if
> she has a severe PCN allergy.
>
> Betsy Hyde CNM
> Branford, CT
>

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