A 38-week pregnant patient is GBS-positive by culture and not penicillin-allergic. Appropriate intrapartum prophylaxis?...

Question

A 38-week pregnant patient is GBS-positive by culture and not penicillin-allergic. Appropriate intrapartum prophylaxis?

Accepted Answer

Penicillin G 5 million units IV load, then 2.5-3.0 million units IV every 4 h until delivery

Answer

Ceftriaxone 1 g IM once at 36 weeks

Answer

Ampicillin 250 mg PO every 6 h at home

Answer

Vancomycin for all GBS-positive patients

Answer

No antibiotics unless fever develops

us-usmle-step-2 MCQ (SBA): GBS Intrapartum Prophylaxis