dc.contributor.author | Carlough, Martha C. | eng |
dc.contributor.author | Crowell, Karen | eng |
dc.date.issued | 2003 | eng |
dc.description.abstract | Asymptomatic term infants whose mothers received adequate intrapartum antibiotic prophylaxis (defined as intravenous penicillin or ampicillin at least 4 hours before delivery) for group B streptococcal disease do not need work-up or treatment (strength of recommendation [SOR]: B, based on retrospective, population-based study). These infants should be observed for 48 hours, but may be discharged after 24 hours in circumstances where close follow-up is available (SOR: D, based on expert opinion). Symptomatic infants, premature infants (gestational age <35 weeks) of mothers who did not receive prophylaxis, and infants whose mothers had chorioamnionitis should receive a full evaluation (complete blood count, blood culture, and chest x-ray with or without a lumbar puncture) and an initial empiric antibiotic treatment with ampicillin or penicillin and gentamycin. If a term infant is not symptomatic and maternal antibiotic prophylaxis was not adequate, opinions differ as to whether to perform limited evaluation with empiric treatment or close observation (SOR: D, based on expert opinion). | eng |
dc.identifier.uri | http://hdl.handle.net/10355/2944 | eng |
dc.language | English | eng |
dc.publisher | Family Physicians Inquiries Network | eng |
dc.relation.ispartofcollection | Clinical Inquiries, 2003 (MU) | eng |
dc.relation.ispartofcommunity | University of Missouri--Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Network | eng |
dc.relation.ispartofseries | Journal of family practice, 52, no. 05 (May 2003): 406+. | eng |
dc.rights | OpenAccess. | eng |
dc.rights.license | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License. | eng |
dc.subject | intrapartum antibiotic prophylaxis | eng |
dc.subject | risk stratification | eng |
dc.subject | chorioamnionitis | eng |
dc.subject.lcsh | Streptococcal infections in children | eng |
dc.subject.lcsh | Streptococcus | eng |
dc.subject.lcsh | Communicable diseases in children | eng |
dc.title | How should we manage infants at risk for group B streptococcal disease? | eng |
dc.type | Article | eng |