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Re: Mitral Valve ProlapseFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Wed May 28 22:57:46 1997
At Wed, 28 May 1997, Harvey S. Marchbein, M.D. wrote: > >At Wed, 28 May 1997, DoctorJoe@aol.com wrote: >> >><<>Over here to the indications for antibiotic prohylaxis are: >>>1 Women with mechanical valve replacements
I'm on vacation!) recommended
>no prophylaxis for ob-gyn procedures unless antibiotics would be used
>********************************* Harvey: I hope you're enjoying vacation, and, like myself and many others, you're sick enough to do the list while on vacation. The reference is (I'm at home, but pretty sure) is a December 1990 JAMA. SBE prophylaxis really boils down to these 2 separate issues, according to the article: 1. Is the lesion one that requires prophylaxis? As I recall, MVP without a click *doesn't* require it, *regardless* of the procedure. 2. Does the prodecure require it? For example, uninfected, uncomplicated vag deliveries, D and Cs, etc. *do not require* prophylaxis regardless of the lesion. So. . .If my logic and memory are correct, regular old vag deliveries with MVP (with or without the clicks, etc) do not need prophylaxis. Ya'll--it's easy just to give the antibiotics, but I think the support exists to follow these guidelines. What do ya'll think? Garry
-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
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