Management of Well-Appearing Term Infants Considered at Risk for EOS

ScenarioN (%)
An infant is born to a mother who is diagnosed with chorioamnionitis by her obstetrician. Management of this infant at your institution by most care providers would be most closely aligned with which of the followinga:
 CDC GBS prevention guidelines (2010)36 (45.5)
 AAP, Committee of Fetus and Newborn Statement (2013, 2014)12 (15.2)
 Sepsis risk calculatorb11 (13.9)
 Locally derived management protocolc10 (12.7)
 No site-specific protocol; management per provider discretion10 (12.7)
A well-appearing infant is born at 38 wk of gestation via spontaneous vaginal delivery to a mother colonized with GBS. Rupture of membrane was for 10 h, and the mother did not receive any antibiotic prophylaxis before delivery. Which of the following approaches to newborn management would be most consistent with the general practice at your site?d
 Routine care for the infant6 (7.5)
 Routine care for infant but not eligible for discharge <48 h age55 (68.7)
 Laboratory tests at birth or later in newborn admission11 (13.8)
 Laboratory tests and empirical antibiotic treatment at birth0
 Enhanced vital signs monitoring for 24–48 h6 (7.5)
 Management is provider-dependent2 (2.5)
  • a Seventy-nine of 81 sites provided responses to this scenario.

  • b As per Escobar et al11 and Cantoni et al.12

  • c Three sites used a local protocol modified from CDC/AAP.

  • d Eighty of 81 sites provided responses to this scenario.