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Subject:
From:
David Green <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 27 Jan 1999 15:19:41 EST
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In a message dated 1/27/99 5:05:06 AM !!!First Boot!!!,
[log in to unmask] writes:

<< I am working with a mother whose 10 week old baby has been diagnosed with
 pertussis, as has her two year old (non-nursing, very mild case). Local
health
 department is involved in the situation and requested mom and baby both be
 given erythromycin. Family doctor refused, saying baby is too weak/dehydrated
 already and he is not willing to risk diarrhea from erythromycin causing
 further dehydration.
 Doctor has put both mother and baby on Septra. Doctor has advised mother to
 pump and dump while she and baby are both on medication. Doctor is concerned
 about drug passing into the milk in an amount significant enough to cause
 overmedication of baby. >>

First, erythromycin is the drug of choice for pertussis - Septra is NOT.
Sulfa meds (Septra, Bactrim) are contraindicated in infants less than 2 months
of age.
At that age, in my practice, I have seen more GI irritation/diarrheoa from
Septra than from Erythro.  I use Erythromycin in infants that age without any
problem!
I don't see any reason why the mom has to pump 'n dump.
OBTW Amy, feel free to contact me personally (you know me) if you have any
questions.
Andrew MD
[log in to unmask]

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