Abstract
BACKGROUND: Group B streptococcus (GBS) is a leading cause of serious neonatal infection. Neonatal morbidity and mortality can be reduced by appropriate prenatal screening and intrapartum chemoprophylaxis. CASE: A 20-year-old primigravida was treated with oral antibiotics at 35 weeks for a recurrent urinary tract infection. Her GBS screen following the antibiotic treatment showed a negative culture. The patient, therefore, did not receive intravenous antibiotics during her induction of labor for mild preeclampsia. The infant developed early onset neonatal GBS pneumonia and sepsis. CONCLUSION: Oral antibiotics can cause a temporary negative culture in a GBS-colonized patient. Relying on a negative culture for management may not be appropriate in a patient treated with oral antibiotics. Additional studies are necessary to elucidate the effects of oral antibiotics on GBS.
Original language | English (US) |
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Pages (from-to) | 1259-1261 |
Number of pages | 3 |
Journal | Obstetrics and gynecology |
Volume | 105 |
Issue number | 5 II |
DOIs | |
State | Published - May 2005 |
Externally published | Yes |
ASJC Scopus subject areas
- Obstetrics and Gynecology