Article |

Multiple Group B Streptococcal Infections in a Premature Infant: Eradication of Nasal Colonization With Rifampin

Am J Dis Child. 1985;139(10):964-965. doi:10.1001/archpedi.1985.02140120010009.
Text Size: A A A
Published online

Sir.—Although group B streptococci (GBS) are uniformly sensitive to penicillin in vitro, penicillin treatment failures in neonatal GBS infection and recurrent neonatal GBS infection may occur.1 Furthermore, attempts to eradicate GBS from colonized pregnant women or from colonized neonates have had limited success.2,3 There are no published data that address the appropriate management of the infant who is colonized with GBS and who develops recurrent systemic GBS infections. We report the course of a premature infant, colonized with GBS from birth, who experienced multiple infections with GBS type III during his four-month nursery stay.

Patient Report.—Twin A weighed 920 g at birth. The pregnancy was complicated by premature labor two days before delivery at 28 weeks and maternal fever to 38.8 °C (102 °F) shortly before delivery by caesarean section. At birth, twin A was limp and foul-smelling and required vigorous resuscitation (twin B died at


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.