GBS treatment??

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Hi everyone, I'm hoping someone can help me out here since this type of nursing is REALLY not my strong point! My sister just called and told me that her doctor told her she has GBS, to be treated at time of labor/delivery. My sister is on Macrobid now for UTI. She's wondering if this Macrobid will help with the GBS now? She's actually on her second course of it. From what I can gather on my weak internet search, they're treating her because her UTI is symptomatic, not to treat the GBS. It looks like that's treated with PCN or clindamycin at the time of labor/delivery. Can anyone tell me if this information is correct? Anything would be appreciated. My sister realizes this is fairly common, but is still a bit nervous. Thanks in advance!! :kiss

Originally posted by SmilingBluEyes

IV antibiotics are the GOLD standard in preventing transmission of GBS in labor and delivery.

in-office patient education + responsive pharmacy +alert nurses=

good coverage for Beta strep moms!

will note that many of our docs do NOT treat moms if delivery is by C/S!

i still worry a bit about this!

haze

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

once again ITA haze!

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I used to be concerned about it also because we do not treat c/s moms with gbs either. but was told it is not an ascending infection and if pt is not ruptured they don't need to be treated:)

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Specializes in NICU.

Also c/s mom should be in the hospital 48 hrs +, so the baby is being observed, if any s/sx, I would expect labs to be drawn, CBC, CRP, and a blood culture.

I recently heard that ONE dose of Ampicllin is being considered adequate tx for the mom......that worries me.

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One dose of ampicillin as adequate tx for +GBS? That doesn't sound right.

Our unit is switching to PCN q4hrs as routine tx (Clinda for PCN allergic pts), as most GBS is supposedly resistant to Ampicillin. Are most of you still using Amp? We also strive to get 2 doses in, with the 2nd one being at least an hour prior to delivery.

If not, the babies are in house for 48 hours (no early discharges), and they have CBC and blood cultures drawn.

Up Vote Up Vote ×

One dose of ampicillin as adequate tx for +GBS? That doesn't sound right.

Our unit is switching to PCN q4hrs as routine tx (Clinda for PCN allergic pts), as most GBS is supposedly resistant to Ampicillin. Are most of you still using Amp? We also strive to get 2 doses in, with the 2nd one being at least an hour prior to delivery.

If not, the babies are in house for 48 hours (no early discharges), and they have CBC and blood cultures drawn.

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