permission to post.  If anyone can help me understand if it is possible to 
culture Beta strep from breastmilk?  I have not heard of moms passing on 
group beta strep to their newborns, via breast, but here is the time line of 
events... If anyone can shed some light on this i would be most appreciative 
as mom is pregnant and was told not to breastfeed this baby. Please feel free 
to contact me off list.


6-2-06:  Day of Birth:  Delivered vaginally following premature rupture of 
membranes on 6-1-06.  Mother treated with ampicillin 3 doses prior to 
delivery.  Infant evaluated for infection and treated with ampicillin and 
getamicin.  Initial blood count not suggestive of infection.
 
6-3-06: Remained on antibiotics
 
6-4-06:  blood culture proved negative therefore antibiotics stopped.  Started 
on phototherapy for jaundice.
 
6-5-06:  More jaundiced dispite phototherapy so triple phototherapy 
instituted.  Small feedings of Breast milk started.
 
6-6-06:  Jaundice improved
 
6-12-06:  Biliblanket stopped
 
6-13-06:  Developed abdominal distention, poor perfusion and apnea, placed 
on ventilator, IV fluids and dopamine for blood pressure.  CBC abnormal with 
low white blood cell count.  started on ampicillin and gentamicin and when 
blood culture from morning showed bacteria growing placed on vancomycin as 
well.  hematocrit low, given blood transfusion.
 
6-14-06:  Blood culture from initial positive blood culture indentified as group B 
Strep.
 
6-16-06:  Breast milk cultured and despite being on antibiotics for 7 days at 
home and 2 days in hospital for mastitis, proved positive for Group B Strep

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