Sebastian Faro

Hepatitis A Vaccine

An Important Resource for the Physician
Committed to Caring for Women

objectiv compar two protocol intrapartum antibiot prophylaxi iap against neonat group streptococc gbs sepsi respect staff complianc prospect cohort studi obstetr unit communiti hospit univers teach hospit method cohort compris about 500 women attend antenat clinic each hospit total 1096 women identifi gbs carrier 2632 week gestat those who had intrapartum clinic risk factor crf were elig iap complianc defin proport women elig iap who receiv accord protocol determin audit case record compar between hospit accord indic result overal 39 women were elig iap indicat were gbs carriag alon 21 crf alon 13 both 5 complianc similar gbs carrier both hospit 78 hospit 76 hospit howev becaus poor predict valu screen befor 32 week onli 65 intrapartum gbs carrier actual receiv iap for women crf onli complianc signific lower hospit than hospit 56 75 003 conclus accord current recommend protocol about onethird healthi women elig intrapartum antibiot prevent neonat gbs sepsi practic antibiot often use ineffici becaus poor complianc protocol poor predict valu select criteria better implement strategi should improv complianc gbs vaccin need replac prophylact antibiot use it associ disadvantag

Gwendolyn L. Gilbert

Moira C. Hewitt

Catherine M. Turner

Stephen R. Leeder

Compliance With Protocols for Prevention of Neonatal Group B Streptococcal Sepsis: Practicalities and Limitations

David E. Soper

The Germ Theory of Disease or&#8220;Where Have All the Cultures Gone&#63;&#8221;

Directions

objectiv determin vitro resist group streptococcus gbs 12 antibiot determin has been ani decreas sensit penicillin other antibiot current use gbs chemoprophylaxi pregnant women find suitabl altern antibiot penicillin find antibiot have minim select pressur resist among endogen resid vagin microflora method the antibiot suscept profil 52 clinic isol gbs were evalu 12 antibiot ampicillin azithromycin cefamandol cefazolin ceftriaxon ciprofloxacin clindamycin erythromycin nitrofurantoin ofloxacin penicillin vancomycin antibiot sensit were determin use disk diffus microdilut method accord guidelin nation committe clinic laboratori standard nccls result all isol were sensit vancomycin ofloxacin ampicillin ciprofloxacin nitrofurantoin penicillin howev follow number clinic isol exhibit intermedi decreas sensit nine 17 ampicillin eight 15 penicillin 14 32 ciprofloxacin one 2 nitrofurantoin thirtyon percent isol were resist azithromycin ceftriaxon 19 clindamycin 15 cefazolin 13 cefamandol eighteen 35 clinic isol test were resist 6 12 antibiot test conclus the relat high rate resist 6 12 antibiot test suggest women allerg penicillin colon gbs antibiot sensit isol should determin the antibiot select intrapartum chemoprophylaxi should guid organ antibiot sensit pattern patient gbs bacteriuria should treat nitrofurantoin

Jose A. Simoes

Alla A. Aroutcheva

Ira Heimler

Antibiotic Resistance Patterns of Group B Streptococcal Clinical
Isolates

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Infectious Diseases in Obstetrics and Gynecology publishes articles related to infectious diseases in women’s health. Topics include diagnosis and treatment of sexually transmitted diseases, urinary tract infections, and infections in pregnancy.

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Infectious Diseases in Obstetrics and Gynecology