Details:

Alternative Title:
Infect Dis Obstet Gynecol
Personal Author:
Glass, Nina E. ; Schulkin, Jay ; Chamany, Shadi ; Riley, Laura E. ; Schuchat, Anne ; ... More +
Glass, Nina E. ; Schulkin, Jay ; Chamany, Shadi ; Riley, Laura E. ; Schuchat, Anne ; Schrag, Stephanie Less -
Description:
To identify opportunities to reduce overuse of antibiotics for prevention of perinatal group B streptococcal (GBS) disease and management of preterm premature rupture of membranes (pPROM).|An anonymous written questionnaire was sent to each of 1031 Fellows of the American College of Obstetricians and Gynecologists, and the responses were subjected to statistical analysis.|Among those of the 404 respondents who saw obstetric patients in 2001, most (84%) screened for GBS colonization, and 22% of these prescribed prenatal antibiotics to try to eradicate GBS colonization. Of the 382 respondents (95%) who prescribed antibiotics for pPROM, 36% continued antibiotics for more than 7 days despite negative results from GBS cultures collected before initiation of treatment. Having more years of clinical experience (adjusted odds ratio (OR) 3.0, 95% confidence interval (CI) 1.5 to 6.2), working in a non-academic setting (adjusted OR 2.7, 95% CI 1.0 to 6.9), and prescribing antibiotics prenatally for GBS colonization (adjusted OR 2.0, 95% CI 1.1 to 3.4) were associated with prescribing prolonged antibiotics for pPROM.|Prenatal antibiotic treatment for GBS colonization and prolonged antibiotic treatment for pPROM contribute to overuse of antibiotics in obstetrics.
Subject:
[+]
Antibiotic Prophylaxis
Female
Fetal Membranes, Premature Rupture
Humans
Infant, Newborn
Male
Multivariate Analysis
Obstetric Labor, Premature
Physician's Practice Patterns
Pregnancy
Pregnancy Complications, Infectious
Questionnaires
Research Article
Streptococcal Infections

Source:
Infect Dis Obstet Gynecol. 13(1):5-10.
Document Type:
Journal Article
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:6b15051941b6afeda50e2bc0032df7bb08fcdf056ddc90982cbb7cdecfff409d
File Type:

Supporting Files

• 	16040321.nxml	txt
  	license.txt	txt

More +