Group B Streptococcus
Until delivery
Ideally initiate more than for 4 hours prior to delivery
If intrapartum fever, see chorioamnionitis
Penicillin G 5 million units IV once, then 2.5 million units IV q4h
ceFAZolin 2 g IV, then 1 g every 8 hours
OR IF ALLERGIC CEFAZOLIN
Clindamycin 900 mg IV q8h
If GBS is sensitive/susceptible
40% resistance
OR
Vancomycin 15 mg/kg/dose IV q12h
Drug Levels Required Please See Drug Monitoring Section