A 57-year-old woman with severe penicillin allergy needs GBS prophylaxis during labor. Culture is GBS positive; clindamycin susceptibility pending. Be...

Question

A 57-year-old woman with severe penicillin allergy needs GBS prophylaxis during labor. Culture is GBS positive; clindamycin susceptibility pending. Best regimen?

Accepted Answer

Vancomycin if high-risk anaphylaxis and susceptibility unknown

Answer

Clindamycin empirically without susceptibility

Answer

Penicillin G despite anaphylaxis

Answer

No prophylaxis

Answer

Gentamicin

us-usmle-step-2 MCQ (SBA): Group B Streptococcus Prophylaxis

A 57-year-old woman with severe penicillin allergy needs GBS prophylaxis during labor. Culture is GBS positive; clindamycin susceptibility pending. Best regimen?