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Re: Prophy ABX for Elective C/S was Re: No Posts! From: art fougner, md (evsono@pipeline.com) Thu Nov 29 12:00:07 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: No Posts!" Previous message: Myer Bornstein: "Re: Prophy ABX for Elective C/S was Re: No Posts!" In reply to: Myer Bornstein: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Next in thread: Dr Eberhard W Lisse: "Re: Prophy ABX for Elective C/S was Re: No Posts!" P4P has never been subjected to evidence based scrutiny. This will undoubtedly result in a fiasco before the dust settles. http://content.nejm.org/cgi/content/full/355/18/1845 Art At Thu, 29 Nov 2007, Myer Bornstein wrote: > >The problem is that in Massachusetts MassHealth has started a P4P program >the 2 OB criteria are Testing for GBS and treating according to protocol and >pre-op antibiotics for C/Sections > >Myer > > _____ > >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel >Braun >Sent: Wednesday, November 28, 2007 8:06 PM >To: Multiple recipients of list OB-GYN-L >Subject: Prophy ABX for Elective C/S was Re: No Posts! > >What is your infection rate on elective sections who don't get antibiotics? >If it is less than 5%, giving prophylactic antibiotics is probably not >justified. >In a healthy upper S-E population, and with a surgeon who handles tissue >gently and hardly ever takes more than 25 minutes, less than 5% puerperal >morbidity should be expected without antibiotics. > >Dan > >On Nov 28, 2007 5:10 PM, Andrew Folley <agfolley@hotmail.com> wrote: > >No we do not. My understanding is it is not necessary. However we are >doing surgical antibiotic prophylaxis on all c-sections elective and >emergency. agf > ><http://www.windowslive.com/connect.html?ocid=TXT_TAGLM_Wave2_newways_112007 >> >-- >R. Daniel Braun, MD FACOG(L) CMT >Professor Emeritus >Dept. of Obstetrics and Gynecology >Indiana U. School of Medicine > >R. Daniel Braun > > "Science without Religion is LAME; Religion without Science is BLIND" > Einstein 1941 > -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: ainsron: "Re: No Posts!" Previous message: Myer Bornstein: "Re: Prophy ABX for Elective C/S was Re: No Posts!" In reply to: Myer Bornstein: "Re: Prophy ABX for Elective C/S was Re: No Posts!" Next in thread: Dr Eberhard W Lisse: "Re: Prophy ABX for Elective C/S was Re: No Posts!"

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