Question

A 35-year-old postpartum (day 2) with prior severe penicillin anaphylaxis tests positive for GBS bacteriuria during pregnancy. Appropriate intrapartum prophylaxis regimen if still pregnant?

Accepted Answer

Vancomycin 20 mg/kg IV q8h (weight/renal-based)

Answer

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

Answer

Ampicillin 2 g IV q6h

Answer

Clindamycin without susceptibility testing

Answer

No prophylaxis; postpartum status negates risk

Practice question

A 35-year-old postpartum (day 2) with prior severe penicillin anaphylaxis tests positive for GBS bacteriuria during pregnancy. Appropriate intrapartum prophylaxis regimen if still pregnant?