CDC Issues Updated Guidelines on Preventing Perinatal Group B Strep Transmission

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CDC Issues Updated Guidelines on Preventing Perinatal Group B Strep Transmission

The CDC has updated its 2002 guidelines on the prevention of group B streptococcus (GBS) transmission to infants during labor. The recommendations appear in MMWR.

Among the changes:

There are now two separate algorithms for GBS prophylaxis during possible preterm labor — one for spontaneous preterm labor and another for premature rupture of the membranes.
If preterm labor is ruled out, GBS prophylaxis should be discontinued.
While penicillin remains the treatment of choice for prophylaxis, penicillin-allergic women at high risk for anaphylaxis should receive clindamycin or vancomycin, depending on the susceptibility of their GBS isolate; erythromycin is no longer acceptable.

LINK(S):

MMWR article (Free)

Published in Physician's First Watch November 19, 2010

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