Group B streptococus - nacho

[ArchivalUser]

If a patient has had GBS infection on a first pregnancy, should we give her ATB en the second pregnancy? yes or no

[ArchivalUser]

culture at 37 weeks.

[ArchivalUser]

No
give iv ampicillin at least 4 hours before delivery.

[ArchivalUser]

mtb 3 page 386.
if the baby had gbs and was treated then you need to give antibiotics in the following pregnancy.

[ArchivalUser]

Sorry fireice... but the answer is NO...
If the first pregnancy was complicated with NEONATAL SEPSIS, antibiotics is indicated in the second pregnancy.
If the patient has a history of GBS infection in her first pregnancy, she should have culture first at 37 weeks, if positive give antibiotic