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

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

Key activities or recommendation Screening strategy Risk-based strategy Combination strategy Dutch guideline
Identify risk factorsa 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 5a
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 5a 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
  1. 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)