Re: B-STREPT Bacteriuria asympt

From: Jonathan May (jhmay@mailhost.tcs.tulane.edu)
Thu May 30 09:06:28 1996


At 09:22 PM 5/29/96 -0500, you wrote: >what should I do with a primim. 15 weeks who have a urin cult postive at
>>100 000 strept gr B but with microsc (bact +++, leuco=0 , pus =0) nourin.
>symptom.
>at 12 weeks she receive nitrofurantoin 100 bid for same problem.
>
>1) Should we treat another time with nitrofurantoin (allergic to peni ) ?
>2) if bacteriuria persists should I give her a prophylax. of nitrofur. ?
>
>Dr Jean-Francois Rancourt
>family physician
>83 de la Fabrique
>Montmagny, Quebec
>Canada G5V 2J3
>jfranc@quebectel.com
>

CDC guidelines (draft) call for intrapartum prophylaxis for anyone with GBS bacteruria during the present pregnancy. For penicillin-allergic patients they recommend clindamycin or erythromycin.

--
Jonathan May, MD FACOG
Tulane Medical School
jhmay@mailhost.tcs.tulane.edu




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