[NP-Clinical] strep

[debcfnp at aol.com]

So do you treat an asymptomatic, non pregnant woman who has a pap smear return with group b strep?
Deb 
 
-----Original Message-----
From: Donna at alden-bugden.ca
To: np-clinical at nurse.net
Sent: Thu, 3 May 2007 10:54 PM
Subject: RE: [NP-Clinical] strep


If it is not A, C, or G, then it must be beta hemolytic group B....or Streptococcus agalactiae
take a look here
http://www.emedicine.com/MED/topic2185.htm
 
 


*******************************************************************
Donna L. Alden-Bugden, BScN, RN(EP),  MN (ANP)
NPCanada.ca - Promoting Nurse Practitioners in Canada
Nurse Practitioner & Emergency Nurse
Winnipeg, Manitoba

Donna at Alden-Bugden.ca
Alternate E-mail:
Donna at NPCanada.ca
http://www.NPCanada.ca
*******************************************************************





-----Original Message-----
From: Cherie Wright [mailto:wright_cherie at hotmail.com]
Sent: May 3, 2007 19:52
To: 'NP Clinical'
Subject: RE: [NP-Clinical] strep


One reason I feel that it is important to treat other groups of strep is that even if they aren't rheumatogenic, they can abscess, etc.  I usually go with Amoxil.

Cherie Wright, FNP

-----Original Message-----
From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net]
On Behalf Of Stephanie Walker
Sent: Thursday, May 03, 2007 8:23 PM
To: NP Clinical
Subject: Re: [NP-Clinical] strep

If the patient has a sore throat and especially if s/he has a fever, I
would treat with antibiotics. Strictly speaking, only group A is
rheumatogenic & needs to be treated, but the community standard of care
most places is to give them antibiotics so they can feel better sooner.
I would use a broader spectrum than penicillin-something simple like
Keflex--since I would have no idea what the sensitivity of the unknown
strep is. Augmentin seems like overkill--very expensive and gives a lot
of people diarrhea.

I don't know about anyone else, but it's not clear to me exactly what
that lab report means. Perhaps the lab uses a method that only
identifies strep A, C and G, with the implication that the type of
strep in the specimen was not a medically significant group. But in
situations where I don't understand a report, I often call up the lab
that issued the report, and ask to speak with the lab director. I ask
the lab director to clarify the report. They're usually very nice about
it.

Stephanie Walker, RN, FNP

On May 3, 2007, at 6:12 PM, Nila Dickman wrote:

> Hello all,
>  
> I am a very green NP, and although I looked High and low for the
> answer, I could not find any clear info.
>  
> I got a throat culture back that stated--"" Heavy growth of beta
> hemolytic streptococcus.  NOT group A, C, or G. ""  
>  
> THis may be a no brainer for most NPs.....but I have been here for 10
> hours and can't find a clear answer and I think I must have missed the
> discussion in class.   Please don't laugh ..but     the question is
> ........ SO  do we treat with Pen VK???     And where can I find some
> good info that would explain the the different strep groups and the
> recommended treatments?
>  
> Thanks..
>  
> Nila FNP
>
> Watch free concerts with Pink, Rod Stewart, Oasis and more.  Visit MSN
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>


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