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Re: recommendations for positive staph aureus From: DoctorJoe@aol.com Thu Jan 30 13:58:16 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Endometrial ablation" Previous message: Mary Lou D'Amico: "recommendations for positive staph aureus" Maybe in reply to: Mary Lou D'Amico: "recommendations for positive staph aureus" Next in thread: Robert J Woolley: "Malcolm and the Virgins (new rock band?)" Reply: Robert J Woolley: "Malcolm and the Virgins (new rock band?)" <<Would anyone recommend treating a cervical culture that is positive for staph aureus in a patient at 26 2/7 weeks gestation with confirmed PPROM. She was initially treated prophylactically with ampicillin for unknown Beta Strep status.>> Yes indeedy! Staph aureus is a dangerous pathogen, probably more dangerous in this circumstance than GC. I would use a cephalosporin initially, assuming the bug is sensitive, since those are generally safe for the fetus. In the case of MRSA, I would feel strongly enough about this to use vancomycin (second choice, perhaps clindamycin...) but consult local ID people if you find MRSA. Joe P. Next message: Bernard Cristalli: "Re: Endometrial ablation" Previous message: Mary Lou D'Amico: "recommendations for positive staph aureus" Maybe in reply to: Mary Lou D'Amico: "recommendations for positive staph aureus" Next in thread: Robert J Woolley: "Malcolm and the Virgins (new rock band?)" Reply: Robert J Woolley: "Malcolm and the Virgins (new rock band?)"

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