title: A practical approach to implementing new CDC GBS guidelines.
abstract: Group beta streptococcus (GBS) is a well-documented pathogen causing serious maternal and fetal morbidity and mortality. The CDC guidelines for managing clients who test positive for GBS in pregnancy were revised and published in 2010. However, CDC and extant literature provide limited guidance on implementation strategies for these new recommendations. Although several algorithms are included in the CDC (2010) document, none combine the maternal risk factors for practical and consistent implementation from pregnancy to newborn. In response to confusion upon initial education of these guidelines, we developed an algorithm for maternal intrapartum management. In addition, we clarified the CDC (2010) newborn algorithm in response to provider request. Without altering the recommendations, both algorithms provide clarification of the CDC (2010) guidelines. The nursing process provides an organizational structure for the discussion of our efforts to translate the complex guidelines into practice. This article could provide other facilities with tools for dealing with specific aspects of the complex clinical management of perinatal GBS.
authors.affiliation: Overlake Hospital Medical Center, Bellevue, WA, USA. Shawna.hill@overlakehospital.org
authors.forename: Shawna M
authors.initials: SM
authors.lastname: Hill
authors.forename: Margie A
authors.initials: MA
authors.lastname: Bridges
authors.forename: Alexis L
authors.initials: AL
authors.lastname: Knudsen
authors.forename: Toni M
authors.initials: TM
authors.lastname: Vezeau
mesh_terms: D000465:Algorithms; D019072:Antibiotic Prophylaxis; D002487:Centers for Disease Control and Prevention, U.S.; D005260:Female; D006284:Health Plan Implementation / Q000379:methods*; D006801:Humans; D007229:Infant Welfare / Q000706:statistics & numerical data; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000517:prevention & control*; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control*; D013290:Streptococcal Infections / Q000517:prevention & control* / Q000635:transmission; D014481:United States