Key activities | Determinants | Screening strategy 1.2 | Risk-based strategy1,2 | Combination strategy1,2 | Dutch guideline 1,2 |
---|---|---|---|---|---|
Treatment (AB) and observation of the child | Procedural clarity (guideline) | 4 | 2 | 4 | 2 |
Logistics observation child at home GBS positive mother without risk factor | N/P | N/P | |||
AB treatment differs between 3 to 5 days treatment | N | N | N | N | |
AB prophylaxis preterm children not specified | N | N | N | N | |
Personal benefits/drawbacks (user) | 1 | 0 | 1 | 0 | |
Resistance hospital staff admission child and mother after birth | N | N | |||
Outcome expectations (user) | 6 | 4 | 4 | 2 | |
40% of cases are missed | N | N | N | N | |
Increase in yield infection | N | N | |||
AB resistance problem | N | N | |||
Mother or postpartum nursing-aid can adequately observe the child at home of GBS positive mother without risk factor | N/P | N/P | |||
Hospital not always safe for observation child | N | N | N | N | |
Knowledge (user) | 1 | 1 | 1 | 1 | |
Postpartum nursing-aid needs training because of insufficient knowledge | N | N | N | N | |
Financial resources (organisational context) | 1 | 1 | 1 | 1 | |
Increased costs because of culture taking in the child | N | N | N | N | |
Time available (organisational context) | 1 | 1 | 1 | 1 | |
Taking cultures in a child is time consuming | N | N | N | N | |
Total numbers of determinants, related to | 14 | 9 | 12 | 7 | |
the guideline itself | 4 | 2 | 4 | 2 | |
the user (care provider) | 8 | 5 | 6 | 3 | |
the organisational context | 2 | 2 | 2 | 2 | |
the socio-political context | 0 | 0 | 0 | 0 |