[Prevention of early-onset group B Streptococcus infections. 1. Application of the ANAES guidelines].
OBJECTIVE
To examine adherence to the Anaes guidelines for early-onset infections prophylaxis, based on a systematic prenatal vaginal swab aiming group B Streptococcus and/or infection risk factors during delivery.


METHODS
Retrospective study of 6125 consecutive deliveries through a 28-month period. Data were collected from the patients files recorded in a computer database.


RESULTS
Overall, a vaginal swab was performed on 88.3% of the patients. Among these, 79.1% were performed according to the guidelines. Among the patients, 90.2% with a positive swab received intrapartum antibiotics. In accordance to the national guidelines, we noticed a 40% increase in the consumption of antibiotics, without any severe complication during the study. Certain points must be improved though: time of the sampling, antibiotic therapy in case of quick delivery, management of patients with allergy to penicillin.


CONCLUSIONS
Concordance with the national guidelines is feasible in a department with a high obstetrical activity.
Muris
C
C
Service de gynécologie-obstétrique et médecine de la reproduction, CHU, boulevard Georges-Clémenceau, 14033 Caen cedex, France. murisguillou@free.fr
Lemonnier
M
M
Herlicoviez
M
M
Dreyfus
M
M
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D005260:Female; D005602:France; D006291:Health Policy; D006801:Humans; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000188:drug therapy; D011295:Prenatal Care; D012189:Retrospective Studies; D013290:Streptococcal Infections / Q000175:diagnosis / Q000517:prevention & control* / Q000635:transmission*; D013292:Streptococcus agalactiae / Q000302:isolation & purification; D014621:Vagina / Q000382:microbiology
D000900:Anti-Bacterial Agents