PMID- 11430949 OWN - NLM STAT- MEDLINE DCOM- 20010830 LR - 20190818 IS - 0029-7844 (Print) IS - 0029-7844 (Linking) VI - 98 IP - 1 DP - 2001 Jul TI - Group B streptococcal disease prevention practices of obstetrician-gynecologists. PG - 7-13 AB - OBJECTIVE: To describe group B streptococcal (GBS) disease prevention practices of obstetrician-gynecologists. METHODS: We surveyed 1019 ACOG Fellows-the 419 members of the Collaborative Ambulatory Research Network (CARN) and 600 randomly selected non-CARN Fellows. RESULTS: There were 601 eligible respondents. More than 95% in both the CARN and the non-CARN groups reported adopting one of three GBS prevention strategies. The most commonly reported strategy was a combination approach not described in the consensus guidelines. The second most common strategy was the screening-based strategy; the risk-based strategy was third. Most respondents provided GBS information to all prenatal patients, but those using a risk-based strategy and those in solo practice were less likely to do so. Less than 60% in each group used penicillin as their first choice for GBS prophylaxis. More than 20% in each group who routinely screened for GBS did not collect both vaginal and rectal cultures. Respondents rated ACOG publications as the most important influence on their GBS prevention approach. CONCLUSION: Almost all ACOG Fellows have adopted a GBS prevention strategy. The importance of providing GBS prevention information to all patients, use of penicillin, and collection of both vaginal and rectal cultures should be reinforced. FAU - Watt, J P AU - Watt JP AD - Respiratory Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. jwatt@cdc.gov FAU - Schuchat, A AU - Schuchat A FAU - Erickson, K AU - Erickson K FAU - Honig, J E AU - Honig JE FAU - Gibbs, R AU - Gibbs R FAU - Schulkin, J AU - Schulkin J LA - eng GR - MC-00105/PHS HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Obstet Gynecol JT - Obstetrics and gynecology JID - 0401101 SB - IM MH - Female MH - Genital Diseases, Female/*prevention & control MH - *Gynecology MH - Humans MH - Male MH - *Obstetrics MH - *Practice Patterns, Physicians' MH - Pregnancy MH - Pregnancy Complications, Infectious/*prevention & control MH - Streptococcal Infections/*prevention & control MH - Streptococcus agalactiae EDAT- 2001/06/30 10:00 MHDA- 2001/08/31 10:01 CRDT- 2001/06/30 10:00 PHST- 2001/06/30 10:00 [pubmed] PHST- 2001/08/31 10:01 [medline] PHST- 2001/06/30 10:00 [entrez] AID - S0029784401014016 [pii] AID - 10.1016/s0029-7844(01)01401-6 [doi] PST - ppublish SO - Obstet Gynecol. 2001 Jul;98(1):7-13. doi: 10.1016/s0029-7844(01)01401-6.