Dear Jack,
What I was hoping for would be some references that show about 50% of yeast
strains are resistant to Nystatin, I have heard this for the last couple
years, and found it to be true in my own practice at the birth center where
I worked for the last 10 years. Getting the nurse midwives there to agree
to change to gentian violet as the first-line treatment was no problem. In
October I took an LC job at a big Level III hospital, the neonatologists
have "ownership" of the baby's care, and may not be aware that mom can be
reinfected if babys treatment is not effective. So we need to
update/educate them.
TIA--
Martha
-----Original Message-----
From: newman [mailto:[log in to unmask]]
Sent: Thursday, November 30, 2000 3:45 PM
To: Johnson, Martha (PHMG)
Subject: RE: need references on gentian violet
Dear Martha,
Exactly what sort of reference sdo they want? That gentian violet has been
used for decades to treat candida and works well? Do they want someone just
to say that it works? Then they can go to Goodman and Gilman (the bible of
pharmacology) and read all about it. Or do they want a double blind study
which nobody has done? What would they like to prove? That it works? Sure
does. So if they want the study, why don't they do it?
Thanks for the nice words about the session.
Jack
-----Original Message-----
From: Johnson, Martha (PHMG) [mailto:[log in to unmask]]
Sent: November 30, 2000 6:32 PM
To: [log in to unmask]
Subject: need references on gentian violet
Dear Jack,
I have searched and posted lactnet for this to no avail. I have just
started at a large level III hospital as one of the LCs, at my old job in a
freestanding birth center we switched to gentian violet several years back
after seeing a big rise in the incidence of thrush, and a falloff in the
efficacy of nystatin. The NICU docs are willing to consider a change to
gentian violet, but of course they want references. Do you have this info
handy, or can you point me in the right direction?
thank you so much--
Martha
PS--I just got forwarded a copy of your AWESOME slideshow "when the baby
Refuses the Breast". Well done, and so validating to my perspective of
relax, keep the milk flowing, don't be in a hurry to wean. I also loved
hearing you say, sometimes the helper needs to get the baby on, even after
just one good feeding, you might notice a big difference. I see this ALL
the time, that is one of my favorite things about newborns, they are such
amazingly quick learners!
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