How best to manage the patient in term labor whose group B strep status is unknown?

Abstract

Monitor the patient and treat her with intrapartum chemoprophylaxis based on identified risk factors, unless a rapid, highly sensitive (greater than or equal to 85%) polymerase chain reaction (PCR) test is immediately available to evaluate for group B Streptococcus (GBS) (strength of recommendation: B, inconsistent or limited quality evidence).