[Compliance with a protocol of prevention of neonatal group B streptococcal sepsis in the Aurore perinatal network]

J Gynecol Obstet Biol Reprod (Paris). 2005 Oct;34(6):589-99. doi: 10.1016/s0368-2315(05)82884-4.
[Article in French]

Abstract

Objective: Our purpose was to measure the compliance with the network hospitals protocol for preventing neonatal group B streptococcal sepsis.

Materials and method: All vaginal deliveries during a one-week period in 37 maternities of the perinatal network were reviewed retrospectively.

Results: A total of 752 records were reviewed. Compliance with the protocol regarding the time of culture was 91.1%. Overall, prevalence of group B streptococcal carriage was 14.2%. Among patients eligible for intrapartum antibiotics, 46.4% received adequate prophylaxis. Considering the length of labor, one out of two patients could have received intrapartum adequate antibiotics. Regarding newborns, 86.1% received adequate medical surveillance. There was no confirmed case of group B streptococcal sepsis during the week of study.

Conclusion: All the maternities of network Aurore accepted and adopted evaluation principle. Some elements of protocol could be better applied, in particular delivering adequate intrapartum antibiotic prophylaxis.

Publication types

  • English Abstract

MeSH terms

  • Anti-Bacterial Agents / administration & dosage*
  • Delivery, Obstetric
  • Female
  • Humans
  • Infant, Newborn
  • Infectious Disease Transmission, Vertical
  • Patient Compliance*
  • Pregnancy
  • Sepsis / prevention & control*
  • Streptococcal Infections / prevention & control*
  • Streptococcal Infections / transmission
  • Streptococcus agalactiae

Substances

  • Anti-Bacterial Agents