Late-Onset Group B Streptococcus in the Late-Preterm Neonate
Late-Onset Group B Streptococcus in the Late-Preterm Neonate
The neonate was born at 2.1 kilograms (kg) via Caesarean section to a previously healthy 40-year-old gravida 1 para 1 mother because of worsening pregnancy-induced hypertension. The neonate was taken to the NICU because of her prematurity and, according to hospital policy, was required to stay in the NICU until corrected to at least 35 weeks gestation and all of her developmental milestones were met. As per hospital protocol, she did not undergo a septic workup or receive prophylactic antibiotics upon arrival at the NICU despite her prematurity because the delivery was performed early for maternal reasons only.
The neonate's mother was positive for GBS and was reportedly adequately treated with penicillin. The mother had no signs of infection such as fever. Artificial rupture of membranes occurred just prior to the Cesarean section. The infant cried immediately after delivery and had APGAR scores of 8 at 1 minute and 9 at 5 minutes.
Medical History
The neonate was born at 2.1 kilograms (kg) via Caesarean section to a previously healthy 40-year-old gravida 1 para 1 mother because of worsening pregnancy-induced hypertension. The neonate was taken to the NICU because of her prematurity and, according to hospital policy, was required to stay in the NICU until corrected to at least 35 weeks gestation and all of her developmental milestones were met. As per hospital protocol, she did not undergo a septic workup or receive prophylactic antibiotics upon arrival at the NICU despite her prematurity because the delivery was performed early for maternal reasons only.
The neonate's mother was positive for GBS and was reportedly adequately treated with penicillin. The mother had no signs of infection such as fever. Artificial rupture of membranes occurred just prior to the Cesarean section. The infant cried immediately after delivery and had APGAR scores of 8 at 1 minute and 9 at 5 minutes.
