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Titolo:
Group B streptococcal (GBS) disease screening and treatment during pregnancy: Nurse-midwives' consistency with 1996 CDC recommendations
Autore:
Bloom, KC; Ewing, CA;
Indirizzi:
Univ N Florida, Dept Nursing, Coll Hlth, Jacksonville, FL 32224 USA Univ NFlorida Jacksonville FL USA 32224 Hlth, Jacksonville, FL 32224 USA W Jacksonville Family Hlth Ctr, Jacksonville, FL USA W Jacksonville FamilyHlth Ctr Jacksonville FL USA Jacksonville, FL USA
Titolo Testata:
JOURNAL OF MIDWIFERY & WOMENS HEALTH
fascicolo: 1, volume: 46, anno: 2001,
pagine: 17 - 23
SICI:
1526-9523(200101/02)46:1<17:GBS(DS>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
EARLY-ONSET DISEASE; PREVENTION STRATEGIES; RISK-FACTORS; INFECTION; EPIDEMIOLOGY; PENICILLIN; COLONIZATION; INFANTS; SEPSIS; BIRTH;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Bloom, KC Univ N Florida, Dept Nursing, Coll Hlth, 4567 St Johns Bluff Rd S, Jacksonville, FL 32224 USA Univ N Florida 4567 St Johns Bluff Rd S Jacksonville FL USA 32224
Citazione:
K.C. Bloom e C.A. Ewing, "Group B streptococcal (GBS) disease screening and treatment during pregnancy: Nurse-midwives' consistency with 1996 CDC recommendations", J MIDWIFE W, 46(1), 2001, pp. 17-23

Abstract

Objective: In 1998, the screening and treatment practices of certified nurse-midwives (CNMs) for group B streptococcal (GBS) infection during pregnancy were studied and evaluated for their consistency with the 1996 perinatalGBS prevention guidelines of the Centers for Disease Control and Prevention (CDC). Methodology: Five hundred thirty-nine surveys were completed by CNMs attending the 1998 American College of Nurse-Midwives' Convention. Of these, 502(94.7%) reported a practice policy for GBS prophylaxis. Results: The Culture-Based Approach was used by 66.7% and the Obstetrical Risk Factor Approach by 28%. Most (69%) reported using multiple culture sites, most commonly the proximal vagina and anorectal area (33.2%), followed by the distal vagina and anorectal area (26.7%), and the anorectal area andproximal and distal vagina (7.1%). Most CNMs (92.5%) reported treating GBSintrapartally, with penicillin the most frequently reported antimicrobial (55.0%) used, and most (94.2%) reporting treatment through labor until birth. Conclusion: Overall, GBS prophylaxis practices among survey respondents comply with 1996 CDC recommendations; however, GBS screening practices show room for improvement and the need for continuing education that emphasizes the CDC guidelines, updates as they become available, and other new literature about the topic. In addition, heightened awareness among all perinatal providers is needed with respect to CDC guidelines, especially as they pertain to variations in culture sites, identification of risk categories, and the selection of appropriate antimicrobial treatment agents. (C) 2001 by theAmerican College of Nurse-Midwives.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/20 alle ore 18:23:43