{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T22:56:57Z","timestamp":1784156217881,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T00:00:00Z","timestamp":1556150400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Universal screening of pregnant women at 35\u201337\u00a0weeks gestation is recommended for detection of anogenital group B streptococcus carriage. Intrapartum chemoprophylaxis is prescribed to carriers to prevent transmission to babies, reducing early\u2010onset neonatal group B streptococcal sepsis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To review compliance with, and the effects of education on group B streptococcus screening and intrapartum chemoprophylaxis practices at The Royal Women's Hospital, Melbourne, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A retrospective audit of women delivering in February 2016 and February\u2013March 2017 was conducted. In February 2017, updated early\u2010onset group B streptococcal disease prevention guidelines were released and promoted with targeted education of clinical staff. Compliance was considered appropriate if practices followed up\u2010to\u2010date local protocols.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Screening rate for group B streptococcus was 84.4% (599\/710) and carriage rate 19.5% (109\/558), while intrapartum antibiotic prophylaxis was optimal in 83% of those labouring greater than four hours (39\/47). There was no significant difference in compliance between 2016 and 2017. Of 113 women with unknown group B streptococcal status at delivery, only five of 33 (15%) with clinical risk factors for early\u2010onset neonatal disease received intrapartum prophylaxis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compliance remained stable, with no change during or after implementation of new protocols. Compliance with protocols was low for cases with unknown group B streptococcal status at delivery but with the presence of one or more clinical risk factors for early\u2010onset group B streptococcal sepsis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12977","type":"journal-article","created":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T08:40:44Z","timestamp":1556181644000},"page":"837-842","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Compliance with screening for and recommended management of maternal group B streptococcus carriage in pregnancy"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2249-2400","authenticated-orcid":false,"given":"Rebecca","family":"Moorhead","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Daley","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Infectious Disease Royal Women's Hospital  Melbourne Australia"},{"name":"Department of Microbiology Royal Children's Hospital  Melbourne Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lai\u2010yang","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Infectious Disease Royal Women's Hospital  Melbourne Australia"},{"name":"Department of Microbiology Royal Children's Hospital  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Gorelik","sequence":"additional","affiliation":[{"name":"Melbourne EpiCentre Royal Melbourne Hospital  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne M.","family":"Garland","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Infectious Disease Royal Women's Hospital  Melbourne Australia"},{"name":"Department of Microbiology Royal Children's Hospital  Melbourne Australia"},{"name":"Department of Obstetrics and Gynaecology University of Melbourne  Melbourne Victoria Australia"},{"name":"Infection and Immunity Murdoch Children's Research Institute  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,25]]},"reference":[{"issue":"45","key":"e_1_2_6_2_1","first-page":"1","article-title":"Prevention of perinatal group B streptococcal disease \u2013 revised guidelines from the CDC","volume":"59","author":"Verani JR","year":"2010","journal-title":"MMWR Recomm Rep"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1991.tb01797.x"},{"issue":"7","key":"e_1_2_6_4_1","first-page":"1","article-title":"Prevention of perinatal group B streptococcal disease: a public health perspective","volume":"45","author":"Centers for Disease Control and Prevention","year":"1996","journal-title":"MMWR Recomm Rep"},{"key":"e_1_2_6_5_1","unstructured":"Centers for Disease Control and Prevention.Guidelines for the Prevention of Perinatal Group B Streptococcal Disease 2010. 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