[Prevention of early-onset group B Streptococcus infections. 1. Application of the ANAES guidelines].

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.

• 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 maternofœtales à streptocoque B. 1. Application des recommandations de l'Anaes.
• PMID: 20864275 (Publication Type: English Abstract, Journal Article)
• Copyright: Copyright © 2010 Elsevier Masson SAS. All rights reserved.

Chemical References

• Anti-Bacterial Agents

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)