Near Miss With Neonate
A pregnant woman was admitted for induction of labor for postterm dates. Prior to artificial rupture of membranes (AROM), the intern found a negative culture for group B streptococcus in the hospital record but failed to note a positive culture in faxed records from an outside clinic. Another physician caught the error, ordered antibiotics, and delayed AROM to allow time for the medication to infuse. Jennifer Malana, MSN, RN, and Audrey Lyndon, PhD, RN, both of UCSF, outline the risks of group B strep in neonates along with guidelines for screening and treatment.