E. Group B streptococcus (GBS)B组链球菌(GBS)
1. GBS is a leading cause of life-threatening perinatal infections.
2. The gram-positive bacterium colonizes the rectum, vagina, cervix, and urethra of pregnant and nonpregnant women.
3. Meningitis, fasciitis, and intra-abdominal abscess can occur in the pregnant client if she is infected at the time of birth.
4. Transmission occurs during vaginal delivery.
5. Early-onset newborn GBS occurs within the first week after birth, usually within 48 hours, and can include infections such as sepsis, pneumonia, or meningitis; permanent neurological disability can result.
6. Diagnosis of the mother is done via vaginal and rectal cultures at 35 to 37 weeks' gestation.
7. Antibiotics such as penicillin may be prescribed for the mother during labor and birth; intravenous antibiotics may be prescribed for infected infants.