Group B strep infection

Question 1

What intrapartum antibiotics can be given for Group B strep infection?

Answer 1

IV Benzylpenicillin

Question 2

What are the indications for intrapartum antibiotics for Group B strep infection?

Answer 2

o Woman is in established preterm labour (< 37 weeks of pregnancy)
o GBS detected in current pregnancy (GBS found from vaginal/rectal swab)
o GBS detected in a previous pregnancy and baby was healthy, and mum has not had a negative ECM test in current pregnancy
o Previous baby which developed GBS infection
o Woman develops pyrexia in labour of 38 degrees or higher

Question 3

Give 3 neonatal complications of Group B streptococcus infection

Answer 3

Meningitis
Septicaemia
Pneumonia

Question 4

4 risk factors for neonate developing Group B streptococcus infection?

Answer 4

Pyrexia (maternal)
Previous baby which developed Group B strep infection
Prolonged rupture of membranes
Preterm rupture of membranes