PLD.33 Intrapartum antibiotic prophylaxis against early onset Neonatal Group B Streptococcal (GBS) sepsis in women known to be colonised; how good are we?

2014 ◽  
Vol 99 (Suppl 1) ◽  
pp. A115.3-A116
Author(s):  
H Breen ◽  
J Costa
Keyword(s):  
Antibiotic Prophylaxis ◽  
Early Onset ◽  
Intrapartum Antibiotic Prophylaxis ◽  
Neonatal Group ◽  
Intrapartum Antibiotic ◽  
Group B

scholarly journals Compliance With a Protocol for Intrapartum Antibiotic Prophylaxis Against Neonatal Group B Streptococcal Sepsis in Women With Clinical Risk Factors

2002 ◽  
Vol 10 (4) ◽  
pp. 223-229 ◽  
Author(s):  
Toni R. Sanders ◽  
Christine L. Roberts ◽  
Gwendolyn L. Gilbert
Keyword(s):  
Risk Factors ◽  
Antibiotic Prophylaxis ◽  
Clinical Risk Factors ◽  
Chart Audit ◽  
Clinical Risk ◽  
Intrapartum Antibiotic Prophylaxis ◽  
Related Risk ◽  
Neonatal Group ◽  
Intrapartum Antibiotic ◽  
Group B

Objective:The aim of this study was to determine the prevalence of clinical risk factors (CRF) for neonatal sepsis in laboring women and to evaluate clinician compliance with a CRF-based protocol for intrapartum antibiotic prophylaxis (IAP).Methods:A retrospective chart audit was undertaken at a district hospital (A) and a tertiary obstetric hospital (B) in Sydney, Australia between 1996 and 1998, to determine compliance with IAP in women with defined CRF.Results:Eighty-five (12%) women at Hospital A and 117 (19%) at Hospital B had one or more CRF. Overall compliance rates with the IAP protocols were 65 and 50%at Hospitals A and B respectively, but varied according to maternal, obstetric and sepsis-related risk factors. We postulate that differences between the hospitals were related to protocol implementation.Conclusions: Compliance with a CRF-based protocol was lower than previously reported. Improvements in protocol development, implementation and maintenance are required to enhance compliance with IAP based on CRF.

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