Compliance With a Protocol for Intrapartum AntibioticProphylaxis Against Neonatal Group B Streptococcal Sepsis in Women With Clinical Risk Factors

摘要

Objective:The aim of this study was to determine the prevalence of clinical risk factors (CRF) for neonatal sepsisin laboring women and to evaluate clinician compliance with a CRF-based protocol for intrapartum antibioticprophylaxis (IAP).Methods:A retrospective chart audit was undertaken at a district hospital (A) and a tertiary obstetric hospital (B)in Sydney, Australia between 1996 and 1998, to determine compliance with IAP in women with defined CRF.Results:Eighty-five (12%) women at Hospital A and 117 (19%) at Hospital B had one or more CRF. Overallcompliance rates with the IAP protocols were 65 and 50%at Hospitals A and B respectively, but varied according tomaternal, obstetric and sepsis-related risk factors. We postulate that differences between the hospitals wererelated to protocol implementation.Conclusions: Compliance with a CRF-based protocol was lower than previously reported. Improvements inprotocol development, implementation and maintenance are required to enhance compliance with IAP basedon CRF.