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



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Author11 Posts
  #1

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









  #2

NEONATAL SEPSIS ECOLI


  #3

2) Group B Streptococcus


  #4

E coli.


  #5

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



  #6

thanks AAAA for clarification.


  #7

thanks AAAAA


  #8

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


  #9

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


  #10

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


  #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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