Exam 2- GBS + PROM Flashcards
Group B Strep Infections in
Newborns:
Occurs when?
Early onset disease- occurs the first
week of life week of life
Group B Strep Infections in
Newborns:
Causes what?
Early onset causes sepsis,
pneumonia, and sometimes pneumonia, and sometimes
meningitis of newborns
Women carry GBS where?
In the rectum or vagina
GBS risk factors
- prematurity
- Prolonged ROM of >18 hours
- Maternal fever
-Demographic: young age; African
AmericanAmerican
screening for GBS is done within which weeks of pregnancy?
at 35-37 weeks with
vaginal and rectal culture vaginal and rectal
If no culture treat GBS ?
tx @ < 37 weeks,
prolonged ROM>18 hours, maternal
temperature of 100.4 or greater
GBS testing
Sterile swab is used to collect a
sample from vagina and rectum
prevention measures for newborns receiving GBS
- Can be prevented by giving pregnant
women antibiotics (ABs) IV during
labor
-ABs can only be taken during labor, because bacteria grows
quickly
GBS Treatment medication preferred
IV Penicillin G preferred
- 6 million units (mu) loading dose
- 3 mu q 4 hours until
delivery
Four hour limit is importantFour hour limit is important
Does not prevent late onsetDoes not prevent late onset
GBS tx: loading dose of ABX?
6 million units (mu) loading dose
GBS tx: following loading dose of ABX?
3 (mu) million units q 4 hours until
delivery
Four hour limit is important
GBS tx important to know
Four hour limit is important
+ does not prevent late onset
only
proven strategy to protect a baby
from early-onset GBS dx?
Abs IV
what is PROM?
Premature Rupture of Membranes
- Spontaneous rupture of amniotic
membranes before the onset of labor
PROM is responsible for?
Responsible for 1/3 of all preterm
births
