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Guideline Adherence for Intrapartum Group B Streptococci Prophylaxis in Penicillin-Allergic Patients
Joint Authors
Paccione, Kimberly A.
Wiesenfeld, Harold C.
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-12
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
To investigate adherence to the 2002 Centers for Disease Control and Prevention (CDC) guidelines for perinatal group B streptococci (GBS) prevention in penicillin-allergic obstetric patients.
Methods.
This is a retrospective cohort study of penicillin-allergic obstetric patients who tested positive for GBS and delivered at our institution in 2010.
Electronic medical records were reviewed for the nature of the penicillin allergy, documentation of having previously tolerated cephalosporins, gestational age at delivery, type of delivery, antimicrobial sensitivity testing, and antibiotics administered.
Antimicrobial sensitivity testing and “appropriate” antibiotic choice, which was determined using 2002 CDC guidelines, were analyzed.
Results.
Intrapartum antibiotic prophylaxis was administered in 97.8% (95% confidence interval [CI] 93.5–99.5%) of patients, but it was considered appropriate in only 62.2% (95% CI 53.8–70.0%) of patients.
Clindamycin was the most commonly used antibiotic, but 26.4% (95% CI 16.3–39.7%) of patients who received clindamycin did not have confirmation of susceptibility via antimicrobial sensitivity testing.
Overall, the sensitivity testing was performed in only 65.5% (95% CI 56.2–73.7%) of patients in whom it was indicated.
Conclusion.
Compliance with CDC guidelines for performing antimicrobial sensitivity testing and choosing an appropriate antibiotic in GBS-positive penicillin-allergic women continues to be suboptimal.
Institution of measures to increase adherence is necessary.
American Psychological Association (APA)
Paccione, Kimberly A.& Wiesenfeld, Harold C.. 2013. Guideline Adherence for Intrapartum Group B Streptococci Prophylaxis in Penicillin-Allergic Patients. Infectious Diseases in Obstetrics and Gynecology،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-507941
Modern Language Association (MLA)
Paccione, Kimberly A.& Wiesenfeld, Harold C.. Guideline Adherence for Intrapartum Group B Streptococci Prophylaxis in Penicillin-Allergic Patients. Infectious Diseases in Obstetrics and Gynecology No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-507941
American Medical Association (AMA)
Paccione, Kimberly A.& Wiesenfeld, Harold C.. Guideline Adherence for Intrapartum Group B Streptococci Prophylaxis in Penicillin-Allergic Patients. Infectious Diseases in Obstetrics and Gynecology. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-507941
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-507941