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Old 12-19-2012
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Default GBS screening

in MTB3 obstretics, i found 2 statements

to give antibiotics if history previous baby with gbs sepsis

not to give antibiotics if culture negative in present even if positive in previous pregnancy

case described in start of gbs topic has negative culture but history of previous baby gbs sepsis so answer is give antibiotics.

can anyone explain?
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Old 12-19-2012
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You give antibiotics in a patient with a previous h/o GBS sepsis in the neonate irrespective of the culture results.

Guidelines for the Prevention of Perinatal Group B Streptococcal (GBS) Disease from CDC.
  • Pregnant women should undergo vaginal-rectal screening for GBS colonization at 35-37 weeks.
  • Intrapartum antibiotic prophylaxis (IAP) is recommended for:
    • Women who delivered a previous infant with GBS disease
    • Women with GBS bacteriuria in the current pregnancy
    • Women with a GBS-positive screening result in the current pregnancy
    • Women with unknown GBS status who deliver at less than 37 weeks’ gestation, have an intrapartum temperature of 100.4°F or greater, or have rupture of membranes for 18 hours or longer.
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Last edited by Novobiocin; 12-19-2012 at 05:39 PM.
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