Safety of Cefazolin Has Been Underestimated for GBS Prophylaxis During Labor - Contagionlive.com
Group B Streptococcus (GBS) is a catalase-negative, gram-positive coccus that can cause many types of infections in humans. GBS is the most common cause of bacteremia, sepsis, pneumonia, and meningitis in newborns, with a 4% to 6% mortality rate. According to the Centers for Disease Control and Prevention (CDC), newborns are at higher risk for GBS infection if the mother carries the bacteria late in pregnancy. Thus, if pregnant women test positive on GBS screening, they receive intravenous (IV) antibiotics while giving birth to prevent vertical transmission of GBS to their newborn. The American Society for Microbiology provides antimicrobial prophylaxis against GBS based on the pregnant woman's allergic diagnosis or history. 1 Penicillin is recommended in patients with no penicillin allergy. For patients with penicillin allergies without a history of severe IgE-mediated hypersensitivity reactions, cefazolin is recommended instead of penicillin. For patients with a history of sever...