Barriers and facilitators related to the uptake of four strategies to prevent neonatal early-onset group B haemolytic streptococcus disease: a qualitative study

Table 1 Key activities or recommendation in the four preventive EOGBS strategies

Key activities or recommendation	Screening strategy	Risk-based strategy	Combination strategy	Dutch guideline
Identify risk factors^a	No	Yes	Yes	Yes
Take swab at 35–37 weeks of gestation	Yes	No	Yes	No
Take swab at onset or during labour	No	No	No	All women with risk factors 4 or 5^a
Treatment of the woman with IAP	All women who are colonised	All women with ≥ one risk factor	All women with ≥ one risk factor AND who are colonised	All women with risk factors 1, 2, or 3 All women with risk factors 4 or 5^a AND who are colonised
Antibiotic treatment of the child	All baby’s with signs of neonatal infection	All baby’s with signs of neonatal infection	All baby’s with signs of neonatal infection	All baby’s with signs of neonatal infection

^a1Previous child with EOGBS, ²GBS bacteriuria in current pregnancy, ³Intra partum fever (≥38 °C), ⁴Preterm birth (<37 weeks), ⁵Pre-labour rupture of membranes (>18 hours)

ISSN: 1471-2393