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Re: flagyl-resistant trichFrom: Toni Render-Short (toni.render-short@gartner.com)Wed Oct 29 09:03:31 1997
At Sun, 15 Sep 1996, Esme J. Howard wrote: > >Dear List: >I've been following the list for a few months, and thought it was about >time i introduced myself. I'm a CNM at a high-volume hospital in the >bronx, where midwives are responsible for the majority of obstetrical care, >backed by residents and attending MDs. My question of the day is on behalf >of a colleague -- she has a prenatal patient with a *bad* case of trich, >resistant to multiple (3-4) treatments of flagyl (2 g stat dose, 7 day 500 >mg bid, Metrogel x 5 d). This is not a case of recurrence (it's never >cleared), and reinfection is NOT a possibility. Last rx was (per >infectious disease consult) nonoxynol-9 pv for a week, with no abatement. >So, my questions: >1) treatment ideas?? >2) is flagyl-resistant trich a known phenomenon? any thoughts about a >contributing factor, from an epidemiological pov, being overuse of flagyl >e.g. >for asymptomatic BV or inflammation on a Pap? (i've been thinking >particularly about my own fairly free >use during pregnancy, which i started because of >the data on the BV-PTL connection) > >Thanks, >Esme J. Howard, CNM >North Central Bronx Hospital, NY
-- I am 7 weeks pregnant right now and have a case of trich. I was told that I can't take any medication for it until about my 4th month. Is this true???
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