[NP-Clinical] strep

Mon May 7 18:38:03 PDT 2007

I would say no...as we all have strep on our skin too...and we wouldn't
treat it unless symptomatic...fever, chills, abdominal infection possible.
Or if pregnant and then patient is usually given intrapartum antibiotics to
prevent transmission to fetus. Carrier state is difficult to
eliminate...just like staph in the nasal passages. And if you did vaginal
swabs and everything was negative except GBS and she had symptoms, then she
could have a strep b abscess or infection. Otherwise asymptomatic people may
simply be carriers. She should be aware of this if she did get pregnant or
have a TA or any invasive procedure that could introduce the strep and
create an infection. about 10-33% of people are asymptomatic carriers of
strep b in their vagina. there is even research on developing a vaccine for
GBS ...to test on woman so they can prevent transmission to babies.

PS GBS can cause asymptomatic UTIs too...as well as symptomatic ones.

Donna

*******************************************************************
Donna L. Alden-Bugden, BScN, RN(EP),  MN (ANP)
NPCanada.ca <http://www.npcanada.ca/>  - Promoting Nurse Practitioners in
Canada
Nurse Practitioner & Emergency Nurse
Winnipeg, Manitoba

 <mailto:Donna at Alden-Bugden.ca> Donna at Alden-Bugden.ca
Alternate E-mail: 
 <mailto:donna at npcanada.ca> Donna at NPCanada.ca
http://www.NPCanada.ca <http://www.npcanada.ca/>  
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-----Original Message-----
From: debcfnp at aol.com [mailto:debcfnp at aol.com] 
Sent: May 7, 2007 9:34
To: np-clinical at nurse.net
Subject: Re: [NP-Clinical] strep

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 <javascript:parent.ComposeTo(> 
Alternate E-mail:
Donna at NPCanada.ca <javascript:parent.ComposeTo(> 
http://www.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 <javascript:parent.ComposeTo(>
[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
> In Concert today. _______________________________________________
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> NP-Clinical at nurse.net <javascript:parent.ComposeTo(> 
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>

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