Abstract | OBJECTIVES: To examine adherence to the Anaes guidelines for early-onset infections prophylaxis, based on a systematic prenatal vaginal swab aiming group B Streptococcus and/or infection risk factors during delivery. PATIENTS AND METHODS: Retrospective study of 6125 consecutive deliveries through a 28-month period. Data were collected from the patients files recorded in a computer database. RESULTS: Overall, a vaginal swab was performed on 88.3% of the patients. Among these, 79.1% were performed according to the guidelines. Among the patients, 90.2% with a positive swab received intrapartum antibiotics. In accordance to the national guidelines, we noticed a 40% increase in the consumption of antibiotics, without any severe complication during the study. Certain points must be improved though: time of the sampling, antibiotic therapy in case of quick delivery, management of patients with allergy to penicillin. CONCLUSION: Concordance with the national guidelines is feasible in a department with a high obstetrical activity.
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Authors | C Muris, M Lemonnier, M Herlicoviez, M Dreyfus |
Journal | Journal de gynecologie, obstetrique et biologie de la reproduction
(J Gynecol Obstet Biol Reprod (Paris))
Vol. 39
Issue 7
Pg. 554-9
(Nov 2010)
ISSN: 1773-0430 [Electronic] France |
Vernacular Title | Prévention des infections maternofÅ“tales à streptocoque B. 1. Application des recommandations de l'Anaes. |
PMID | 20864275
(Publication Type: English Abstract, Journal Article)
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Copyright | Copyright © 2010 Elsevier Masson SAS. All rights reserved. |
Chemical References |
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Topics |
- Anti-Bacterial Agents
(administration & dosage)
- Female
- France
- Health Policy
- Humans
- Infant, Newborn
- Infectious Disease Transmission, Vertical
(prevention & control)
- Practice Guidelines as Topic
- Pregnancy
- Pregnancy Complications, Infectious
(diagnosis, drug therapy)
- Prenatal Care
- Retrospective Studies
- Streptococcal Infections
(diagnosis, prevention & control, transmission)
- Streptococcus agalactiae
(isolation & purification)
- Vagina
(microbiology)
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