GBS treatment??

Specialties Ob/Gyn

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HazeK

350 Posts

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

SmilingBluEyes

20,964 Posts

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

once again ITA haze!

mark_LD_RN

940 Posts

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:)

Mimi2RN, ASN, RN

1,142 Posts

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.

OB4ME

72 Posts

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.

OB4ME

72 Posts

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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