full-term infant is born 36 h after rupture o.memb

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full-term infant is born 36 h after rupture o.memb

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determine
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05/02/06 - 10:34 AM

A full-term infant is born 36 hours after rupture of the amniotic membranes. The infant develops tachypnea and has a left shift in the white cell count of 35%. In your choice of antibiotics, ampicillin offers an advantage over penicillin for which of the following potential pathogens?<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

1) Group A Streptococcus

2) Group B Streptococcus

3) Enterococcus faecalis

4) Listeria monocytogenes

5) Escherichia coli

yasmeen
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05/02/06 - 10:36 AM

NEONATAL SEPSIS ECOLI

babli
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05/02/06 - 10:38 AM

2) Group B Streptococcus

achilles
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05/02/06 - 01:20 PM

E coli.

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AAAAA
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05/02/06 - 01:45 PM

full-term----->E COli------> treated with ampicillin

premature infant-----------> less than 34 weeks----------> GBS---------->Group B strept

Full-term infants-----------> infection from the intestines------->E.coli

premature infants---------> GBS------> colonization from the vagina------->Mom's urinary tracts and colonized at the vagina

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babli
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05/02/06 - 02:03 PM

thanks AAAA for clarification.

determine
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05/02/06 - 04:05 PM

thanks AAAAA

drk1980
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07/24/06 - 09:24 AM

neonatal sepsis a common cause is listeria.....so why not listeria in this case?

suzy
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07/27/06 - 11:55 AM

I agree with babli...intrapartum ampicillin reduces incidence of group B strep and with rupture of the membranes for more than 18 hours.

sarinha
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07/27/06 - 04:30 PM

#10

Ampicilin is the best choice for Listeria ... especially derived from cheese (cotage)

study_ing
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08/03/06 - 09:16 AM

#11

i agree with listeria...the q is not about the most common pathogen according o age but the therapeutic advantage of ampicillin.

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