Is IAP indicated for GBS

Indications for Intrapartum Antibiotic Prophylaxis to Prevent Early-onset GBS Disease according to US guidelines

IV antibiotics during labor

No IV antibiotics during labor

or

start

Question 1/9

IS Intrapartum Antibiotic Prophylaxis (Iap) indicated for a Patient if:

The patient has had a previous neonate with invasive GBS disease

IV antibiotics not indicated

IV antibiotics indicated

Question 1/9

The Answer is

Yes. If there is a maternal history of a previous neonate with invasive GBS disease, the birthing parent should receive intrapartum antibiotic prophylaxis.

Next Question

IV antibiotics indicated

Question 2/9

IS IAP Indicated for the Patient IF:

The patient was colonized with GBS during a previous pregnancy

IV antibiotics not indicated

IV antibiotics indicated

Question 2/9

The Answer is

Intrapartum antibiotic prophylaxis is not indicated if a patient has a maternal history of being colonized by GBS during a previous pregnancy (unless colonization status in current pregnancy is unknown at the onset of labor at term).

Next Question

IV antibiotics not indicated

Question 3/9

IS IAP Indicated for the patient if:

During the current pregnancy, a positive GBS culture was obtained at 36 0/7 weeks of gestation or more (unless a cesarean birth is performed before onset of labor for a woman with intact amniotic membranes)

IV antibiotics not indicated

IV antibiotics indicated

Question 3/9

The Answer is

Yes. Intrapartum antibiotic prophylaxis should be indicated for a patient if a postitive GBS culture was obtained at 36 0/7 weeks of gestation or more during the current pregnancy (unless a cesarean birth is performed before onset of labor for a woman with intact amniotic membranes).

Next Question

IV antibiotics indicated

Question 4/9

IS IAP indicated for A patient if:

The patient has GBS bacteriuria during any trimester of the current pregancy

IV antibiotics not indicated

IV antibiotics indicated

Question 4/9

The Answer is

Yes. If the patient has GBS bacteriuria during any trimester of the current pregancy, intrapartum antibiotic prophylaxis should be indicated.

Next Question

IV antibiotics indicated

Question 5/9

Is IAP indicated for a Patient If:

The patient has a negative vaginal-rectal GBS culture obtained at 36 0/7 weeks of gestation or more during the current pregnancy

IV antibiotics not indicated

IV antibiotics indicated

Question 5/9

The Answer is

Intrapartum antibiotic prophylaxis is not indicated if a patient has a negative vaginal-rectal GBS culture obtained 36 0/7 weeks of gestation or more during the current pregnancy. Note: If the patient has not yet given birth within 5 weeks of testing, repeat testing is reasonable.

Next Question

IV antibiotics not indicated

Question 6/9

IS IAP indicated for a Patient if:

A cesarean birth is performed before the onset of labor on a patient with intact amniotic membranes, regardless of GBS colonization status or gestational age

IV antibiotics not indicated

IV antibiotics indicated

Question 6/9

The Answer is

Intrapartum antibiotic prophylaxis is not indicated if a cesarean birth is performed before the onset of labor on a woman with intact amniotic membranes, regardless of GBS colonization status or gestational age as the risk of GBS infection in this situation is very low.

Next Question

IV antibiotics not indicated

Question 7/9

IS Iap indicated for a Patient if:

During the intrapartum period, the patient has an unknown GBS status at the onset of labor (culture not done or the results unknown) and any of the following:

• Birth at less than 37 0/7 weeks gestation
• Amniotic membrane rupture 18 hours or more
• Intrapartum temperature >100.4°F (38°C)
• Intrapartum NAAT result is negative but above risk factors develop

• Intrapartum NAAT result positive for GBS
• Known GBS positive status in a previous pregnancy

IV antibiotics not indicated

IV antibiotics indicated

Question 7/9

The Answer is

Yes. During the intrapartum period, if the patient has an unknown GBS status at the onset of labor (culture not done or the results unknown) and any of the previously mentioned risk factors, IAP is indicated. Note: If GBS colonization in a previous pregnancy is the only risk factor and the patient is 37+ weeks, providers may choose to discuss IAP as an option.

Next Question

IV antibiotics indicated

Question 8/9

IS IAP indicated for a patient if:

A patient has a negative vaginal-rectal GBS culture obtained at 36 0/7 weeks of gestation or more during the current pregnancy, regardless of intrapartum risk factors

IV antibiotics not indicated

IV antibiotics indicated

Question 8/9

The Answer is

Intrapartum antibiotic prophylaxis is not indicated if a patient has a negative vaginal-rectal GBS culture obtained at 36 0/7 weeks of gestation or more during the current pregnancy, regardless of intrapartum risk factors.

Next Question

IV antibiotics not indicated

Question 9/9

IS IAP indicated for a patient if:

A patient has an unknown GBS status at the onset of labor, the NAAT result is negative and no intrapartum risk factors are present (i.e. birth at less than 37 0/7 weeks of gestation, amniotic membrane rupture of 18+ hours, or a maternal temperature of 100.4°F (38°C) or higher)

IV antibiotics not indicated

IV antibiotics indicated

Question 9/9

The Answer is

Intrapartum antibiotic prophylaxis is not indicated if a patient has an unknown GBS status at the onset of labor, the NAAT result is negative and there are no intrapartum risk factors present.

Next

IV antibiotics not indicated

COMPLETE!