Question

A 26-year-old at 39 weeks presents in labor with unknown GBS status and intrapartum fever 38.3°C (100.9°F). What is the best intrapartum prophylaxis?

Accepted Answer

Penicillin G IV (5 million units load, then 2.5-3 million units q4h)

Answer

No antibiotics unless ROM >18 hours

Answer

Vancomycin for all patients with unknown status

Answer

Oral ampicillin 500 mg q6h

Answer

Wait for rapid NAAT result before treatment

Practice question

A 26-year-old at 39 weeks presents in labor with unknown GBS status and intrapartum fever 38.3°C (100.9°F). What is the best intrapartum prophylaxis?