Friday, 6 November 2015

Antibiotic GBS

8)how many dose of antibiotics enough to cover for the baby if the mother is GBS positive?

The mother should have receive >/=4hours of IV penicillin, ampicillin or cefazolin prior to delivery

A) penicillin : 5 million units IV initially, then 2.5-3.0 million units IV every 4 hours until delivery

B) ampicillin : 2 grams IV initially, then 1 gram IV every four hours until delivery (with the exception of women with PPROM who may have received 2 grams IV initially and followed by 1 gram IV every 6h)

C) cefazolin : first dose of 2 grams IV followed by 1 gram IV every 8 hours until delivery

 Dr Shaiful Ehsan: For GBS...ampicillin is the drug of choice...before u escalate to cephalosporin...

 Adequate dose is considered when mother is covered at least 2 completed doses of ampicillin intrapartum before deliver the baby....



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[04/11 1:03 pm] Dr Shaiful Ehsan: http://www.mmgazette.com/which-antibiotics-should-i-use-dr-mohd-shaiful-ehsan/
[04/11 1:04 pm] Dr Shaiful Ehsan: Purposely written for my juniors....moga bermanfaat...

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