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Re: AmniorrhexisFrom: R L Meisel (mfm@southwind.net)Mon Mar 25 03:57:07 1996
>At 29 weeks with leakage of amniotic fluid, I would treat empirically >for Group B Beta streptococcus infection, perhaps adding metronidazole >for Gardernella vaginalis. If there is no fever or leukocytosis, then >antenatal steroids with Betamethasone, 12 mg. can be given. Don, My $.02 worth: GBS cannot be treated...it is a colonization and prophylaxis is given intrapartum. The question about Gardernella is interesting, our group cannot find any data on the best approach to this finding (we are considering stopping our routine of getting a culture for this amoung other reasons). My inclination is to treat but my ID trained partner leans in the other direction. Anyone aware of any support for either protocol? Contrary to the NIH CC we use dexamethasone PO (or IV) ... better levels than IM and cheaper PO. Ric ************************************************************* Richard L Meisel, M.D., FACOG Director, Division of Maternal-Fetal Medicine Assoc Prof Dept of Obstetrics and Gynecology (316) 688-7990 University of Kansas School of Medicine-Wichita FAX 688-7656 3243 E Murdock St., Suite 201 mfm@southwind.net Wichita, Kansas 67208 *************************************************************
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