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July-August 2000, Volume 20, Number 5, Pages 316-317

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Current Concepts

Indicated Preterm Birth: A Possible Contribution to Group B Streptococcal Sepsis Prophylaxis Protocol Failures. A Case Report

Robert J Stiller MD, Scott Vander Vennet MD, Steven A Laifer MD and John C G Whetham MD

Section of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Bridgeport Hospital, Bridgeport, CT.

Correspondence to: Robert J. Stiller MD, Section of Maternal-Fetal Medicine, Department of Obstetrics andGynecology, Bridgeport Hospital, Bridgeport, CT 06610.

Abstract

BACKGROUND: Despite the acceptance of protocols for the prevention of group B streptococcal (GBS) sepsis for the newborn, protocol violations, with subsequent failure to initiate intrapartum antibiotic therapy, occur at many institutions. The causes for GBS prophylaxis protocol violations are not well understood.

CASES:

We report two cases of indicated preterm birth in which appropriate antibiotic prophylaxis for GBS sepsis was not initiated.

CONCLUSION: In the setting of indicated preterm birth, GBS prophylaxis may be overlooked. We suspect that the attention given to the medical or fetal complications of indicated preterm birth may contribute to the omission of GBS sepsis prophylaxis in these situations.

July-August 2000, Volume 20, Number 5, Pages 316-317

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