GBS guide organizes and presents the practical and hard-to-remember guidance on intrapartum antibiotic prophylaxis and newborn management in order to prevent invasive GBS disease of the newborn. It is based upon the guidelines on this topic from the Center for Disease Control & Prevention from 2010 (version 1.0 from CDC 2002 guideline). The app contains 4 algorithms each presented as a cascade of clinical decisions as well as in pictorial scheme of the entire decision flowchart. A general discussion of invasive GBS disease of the newborn prevention is also provided.
The app addresses such common questions as:
•which moms need antibiotics in labor?
•how does one choose between Penicillin, Ampicillin, Cefazolin, Clinda, and Vancomycin?
•which moms need culture with sensitivity testing ordered on their GBS screening culture?
•how do I handle preterm labor and preterm premature rupture of membranes (PTL & PPROM)?
•how do I handle a mom in labor who never got her 35-37 week GBS culture (or the results are not available)?
•which babies have been treated adequately to prophylax against GBS disease?
•how do I handle a baby whose mother arrived and delivered too quickly for prophylactic antibiotics to be given?
This app is written and intended for practicing clinicians like OBs, midwives, and family physicians; for resident physician trainees; for medical students; and for any others who are involved in pregnancy and labor care such as L&D nurses, clinical educators, etc.
As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool.