Prevent Group B Strep

Tool for Obstetric Providers

Photo: Pregnant womenEnter the mother’s clinical condition and any risk factors. Move through this tool to identify recommendations for treatment, including if patient should receive intrapartum antibiotics (IAP).
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Prevent Group B Strep

Terms of use

The User acknowledges and agrees that this tool will be used only as a reference aid, and that the information contained in the product is not intended to be (nor should it be used as) a substitute for the exercise of professional judgment.

In view of the possibility of human error or changes in medical science, the User should confirm the information in the product conforms to the current version of the CDC GBS guidelines by checking for guideline updates. This product is provided without warranties of any kind, express or implied, and the authors disclaim any liability, loss, or damage caused by it or its content.

By indicating ‘I agree’ below, you have indicated your acceptance of these terms.

Agree to the terms:
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Prevent Group B Strep

Photo: clipboardDescribe Your Patient

Did the patient have a previous infant with invasive GBS disease?
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Prevent Group B Strep

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Was GBS isolated from the urine at any time during the current pregnancy?
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Anticipated mode of birth:
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Prevent Group B Strep

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Has rupture of membranes occurred?
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Has labor begun or have membranes ruptured?
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Has labor begun?
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Gestational age:
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Are results from a prenatal GBS screen available from this pregnancy?
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Prevent Group B Strep

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What was patient's prenatal GBS screen result?
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Was prenatal GBS screen done ≤5 or >5 weeks ago?
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Prevent Group B Strep

Photo: clipboardDescribe Your Patient

Does the patient have either of the following intrapartum risk factors:
  • Rupture of membranes ≥18 hours
  • Intrapartum fever (temperature ≥100.4°F [≥38°C])
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Prevent Group B Strep

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Are results from an intrapartum GBS screen available (if done in your hospital)?
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Prevent Group B Strep

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What was patient's result from an intrapartum screen test?
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Patient Characteristics

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Patient Characteristics

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Patient Characteristics


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Patient Characteristics


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Patient Characteristics

  • Previous infant with invasive GBS disease: No
  • GBS bacteriuria during current pregnancy: No
  • Gestational age: <37 0/7 weeks (preterm)
  • Anticipated mode of birth: Cesarean section before onset of labor with intact membranes

GBS Prophylaxis Not
Indicated At This Time

GBS prophylaxis is not indicated at this time. If onset of labor or rupture of membranes occurs prior to cesarean birth, intrapartum GBS prophylaxis should be administered to GBS-colonized women and to women giving birth preterm with unknown GBS status.


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Patient Characteristics

  • Previous infant with invasive GBS disease: No
  • GBS bacteriuria during current pregnancy: No
  • Gestational age: ≥37 0/7 weeks (full term)
  • Anticipated mode of birth: Cesarean section before onset of labor with intact membranes

GBS Prophylaxis Not
Indicated At This Time

GBS prophylaxis is not indicated at this time. If onset of labor or rupture of membranes occurs prior to cesarean birth, intrapartum GBS prophylaxis should be administered to GBS-colonized women. If onset of labor or rupture of membranes occurs prior to cesarean birth GBS prophylaxis (or treatment of intraamniotic infection with a regimen that includes GBS coverage, if needed) should also be administered to women with unknown GBS status



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Prevent Group B Strep

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Patient Characteristics

  • Previous infant with invasive GBS disease: No
  • GBS bacteriuria during current pregnancy: Yes
  • Anticipated mode of birth: Cesarean section before onset of labor with intact membranes

GBS Prophylaxis Not
Indicated At This Time

GBS prophylaxis is not indicated. If onset of labor or rupture of membranes occurs prior to cesarean birth, then theGBS prophylaxis antibiotic administered for presurgical prophylaxis should also be appropriate for GBS prophylaxis.

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Patient Characteristics

  • Previous infant with invasive GBS disease: No
  • GBS bacteriuria during current pregnancy: Yes
  • Anticipated mode of birth: Vaginal

Intrapartum GBS Prophylaxis
Indicated

Intrapartum GBS prophylaxis is indicated, even if a prenatal GBS test was negative. Select appropriate antibiotic for this patient.


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Prevent Group B Strep

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Patient Characteristics

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