On 2/11/02 1:03 PM, "Automatic digest processor"
<[log in to unmask]> wrote:

> I was reading a patient's chart about a wound infection from her
> c-section that was cultured  as Group D strep.  Prenatally she was Group
> B strep negative.  The baby was asymptomatic.  Does anyone have any
> experience with this bug?


GROUP D
Type D Streptococcus is the next clinically important bacterium (after A &
B) because of the multitude of diseases it is known to cause. Although many
are harmless, the pathogenic strains cause complications of the human
digestive tract. This group has recently been reclassified into two
divisions: Enterococcus and non-Enterococcus. The Enterococci include E.
faecalis, a cause of urinary tract infections, and E. faecium, a bacterium
resistant to many common antibiotics. Diseases such as septicemia,
endocarrditis, and appendicitis have also been attributed to group D Strep.
Fecal matter from infected individuals is a source for isolation and
identification techniques. Once identified, Group D Strep can be treated
with ampicillin alone or in combination with gentamicin.

But I have had no clinical experience with anyone requiring treatment for
this in the obstetric area and I don¹t know how common it is.

Cathy Fetherston CM MSc IBCLC
Perth, Western Australia

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html