QuestionSBA
QuestionChoice
Clindamycin has historically been used to treat GBS but due to increasing resistance, it is recommended that sensitivities be performed before its use
34044
e
Clindamycin 300mg IV
QuestionChoice
All mothers who have swabbed positive for GBS should receive intrapartum antibiotics to reduce the risk of neonatal sepsis. Benzylpenicillin sodium is recommended first line
34040
a
Benzylpenicillin sodium 3g IV
QuestionChoice
This formulation of benzylpenicillin is used to treat syphilis rather than GBS
34042
c
Benzathine benzylpenicillin 2.4m units IM
QuestionChoice
Ceftriaxone has activity against GBS but has a much broader spectrum of activity than would normally be required
34043
d
Ceftriaxone 2g IV
QuestionChoice
Amoxicillin has activity against GBS but has a much broader spectrum of activity than would normally be required
34041
b
Amoxicillin 500mg IV
QuestionComment
Where is this on the BNF?

17427
User
subscriber
Contusion Hallux
QuestionComment
Type in benzylpenicillin sodium --> go to the "Intrapartum prophylaxis against group B streptococcal infection" section 


43841
User
subscriber
NICU Gastro
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

2618
2752
Group B Streptococcus
Topic
76
Obstetrics and Gynaecology
6819
Case Presentation: A 26 year old woman is admitted to the maternity ward following induction of labour 12 hours previously. She is G2P1 and has no outstanding health problems, but is known to have swabbed positive for group B streptococcus during her initial booking appointment for her current pregnancy. NKDA


**O/E**

HR 94, RR 15, BP 132/82. Cervix dilated to 4cm, foetal head engaged. Contractions 1 in 10 minutes.

**Investigations**

Cardiotocography is reassuring.

Question: Select the most appropriate management at this stage.
a