Doctor insights on:
Medicine For Group B Strep Infection
OB's follow protocol: The frequency of invasive group b strep disease has declined since the adoption of surveillance and treatment protocols by ob's & peds. Since gbs can come & go, most moms will be screened at 35-37 wks & receive abx during labor if positive, if status unknown she will be treated & babies are monitored & tested for a specific period after delivery. Discuss your concerns with your ob. ...Read more
Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more
Very likely: Very likely unless there are underlying problems. Let yourt doctor know about these. ...Read more
OB/peds have protocl: The frequency of invasive group b strep disease has declined since the adoption of surveillance and treatment protocols by ob's & peds. Since gbs can come & go, most moms will be screened at 35-37 wks & receive abx during labor if positive, if status unknown she will be treated. Babies are monitored & treated if any signs appear that suggest invasive disease. ...Read more
Diagnosed with group B strep infection? How did I get this? What are symptoms? I have a lot of watery/bloody discharge during sex. Related?
Common pest: Group b strep is a periodic visitor to the digestive tract and at any given time 30% of women may have it show up on a vaginal swab. Except for it's well known nasty habit of hurting newborns & occasionally causing urinary tract infections it can be just a benign hitchhiker in your system. If you have urinary symptoms antibiotic treatment may be helpful, but rarely eliminates this germ permanently ...Read more
Is 3x500 mg for 28 dy Amoxicillin effective for treating Group B Strep Infection found using semen culture? Original sympom: reduced ejaculate volume.
Watery/bloody discharge only during sex. Not BV or yeast. Diagnosed with group b strep infection. Could this be the cause of the excessive discharge?
Gyn ran tests for infection. Found out I have group b strep and neg other. Is there anything I need to do for that? Don't plan on having any kids.
Not uncommon: Group b strep is a common germ found in the female genital tract. At any time as many as 1/3 will have it. It also comes and goes over time without treatment. It is important near the end of a pregnancy when it can transfer to the baby and cause serious infection. It can occasionally be a cause for a uti. It is unlikely to be of significance to you. ...Read more
Why do obgyns wait until 35 weeks inutero before testing for group b strep? Can outcomes be better for baby if infection is treated before l&d?
4 weeks: If group strep is found during the pregnancy at any time (like a urine culture) then that patient will be treated when in labor. The culture is reliable for 4 weeks. Testing at 35/36 weeks will cover for those delivering in that time frame. Gbs is passed to baby when passing though the vaginal therefore treating while the patient is in labor is correct. ...Read more
How would you treat a bladder infection from Group B Strep (tested, high number of colonies) that doesn't respond to Ampicillin/Penicillin?
Very unusual: This is almost impossible: GBS is uniformly susceptible to ampicillin and related penicillins. You may need testing to confirm if you are now infected with a different bacteria; and whether you still have a urinary tract infection or some other explanation for your symptoms (e.g., STDs like chlamydia or gonorrhea). Discuss with your doctor. Good luck! ...Read more
What could it mean that my removed iud (after 7mths) was found to have group b strep? Likely contamination or could I have an infection in my uterus?
IUD & Streptococcus: Streptococcus Group B can usually be found normally in the vagina. It can migrate up the IUD string and produce a Fallopian tube infection. If your MD has examined you and found that there isn't either a intra-uterine or tubal infection, then that is great. The IUD could have been contaminated at the time of tis' removal through the vagina if you don't have any evidence of infection. ...Read more
Does taking treatment for throat infection put my baby more at risk for my Group B Strep? I'm a carrier. Abx don't cover GBS can they make it stronger
So the usual recommendation is that you get tested for Group B strep between 35-37 weeks of your pregnancy. If you test positive, they will give you IV antibiotics that cover GBS during labor because the GBS transmission to the baby occurs during childbirth. Generally speaking, if an antibiotic doesn't cover GBS, it won't stimulate it to become "stronger". ...Read more
Is it safe to have an HSG Femvue test while I have a UTI from Group B Strep? Could this infect womb?
Maybe risky: GBS mostly resides in the vagina, and might cause fallopian tube infection if flushed into the tubes when Femvue is injected. Make sure your doctor knows of your GBS infection, also the radiologist who may be actually doing the test. It may be safe, especially if your infection has been treated for a few days. But make sure they know; better safe than sorry. ...Read more
GBS lives in vagina: Some bacteria have certain areas where they like to live. Group B Strep lives 'normally' in the vaginal area. Yes, sorry- there are bacteria EVERYWHERE and you just can't get rid of 'em. If you do, some other microbes will just take their place. Diet has no effect. Ob/gyn's screen for GBS because it can be dangerous to the baby -causing meningitis at birth -so mothers are treated prior to delivery ...Read more
If a pt requests an prescription for a +ve group b strep infection prior to delivery, can this prevent ascending infection resulting in chorioamnionitis in l&d?
Not reliably: This was tried in controlled studies in the past and found ineffective in reliably eliminating group b carriage. One likely problem is gbs is a common inhabitant of the intestinal tract & oral medications likely can't reach all the germ traveling within the stool. Standard rx is to give IV meds in labor to surpress/kill any residual germs. Such protocols have dropped infection rates substanti. ...Read more
Group B Strep: Group B Strep (or GBS) infection is caused by the bacterium Streptococcus agalactiae. It can can cause serious illness (sepsis) and sometimes death, especially in newborns, the elderly, diabetics and people with weakened immune systems. If you have questions about this or other infections, you should talk to a doctor. ...Read more
Depends: After diagnosis most physicians will treat a newborn with this DX for 2 weeks on IV antibiotics. Recurrent infection after shorter treatment has been seen. Complications may warrant additional time on meds. The kids generally stabilize on treatment within a few days & toward the end of treatment appear quite normal. ...Read more
Penicillin: Penicillin is the drug of choice for grouop b streptococcus infections. For those allergic to penicillins there are other antibiotic choices that are effective. The route of administration and the duration of the treatment would depend on the nature, location, and severity of the infection. ...Read more
Culture: Swab taken for culture specifically for gbs. ...Read more
What's the procedure when being tested for group b strep. I lost my 1st child to the infection at 31wks. 2nd pregnancy & im 33wks I will b tested soon?
Discuss with OB: With your history I would expect your OB to be extra vigilant. Since gbs can be transient and is present in 1/3 of women at any time, most screening occurs later in pregnancy or at the beginning of premature labor. Iv antibiotics during labor is a standard treatment as oral meds have not been shown to effect outcome. ...Read more
Could I be colonized with group b strep in my uterus without having a serious infection? Not pregnant.
Common germ: An estimated 30-40% of women carry GBS intermittently through life in their genital tract. It is a benign gut germ and occasionally causes a UTI in women. It becomes an issue if a baby acquires the germ from mom before or during delivery and gets very sick from it. Except for that setting, it is just a common germ you ignore. ...Read more
Culture for bacteria: Group b streptococcus is a bacteria present in the vagina and rectum in approximately 20% of women. The test involves a qtip swab of the vagina and rectum to see if the bacteria is present. This is usually done around the 35th week of pregnancy. If positive you will need antibiotics during labor to protect the baby from infection. ...Read more
Ignore it: Group b strep is a periodic visitor to the digestive tract and at any given time 30% of women may have it show up on a vaginal swab. Except for it's well known nasty habit of hurting newborns & occasionally causing urinary tract infections it can be just a benign hitchhiker in your system. Unless you have urinary symptoms or are in the final weeks of pregnancy, I would ignore the germ. ...Read more
Test for it: Group b strep is a common germ in nature & found at any one moment in the genital tract of ~1/3 of women. In most cases it is innocuous, causing no harm, although it sometimes can cause a uti. It can be there one week & gone the next however, if passed to a newborn during labor or delivery, a fraction will get very sick. I would consider any mom @ risk & rely on the ob's to monitor the situation. ...Read more
Nature: Group b strep (gbs) is a naturally occuring bacteria in the environment. It can live in the intestines of 20-25% of all individuals and in general does not cause any issues. It can however, cause an infection in the womb (uterus) during pregnancy, particularly during labor. Therefore, a woman who is known to be gbs positive is treated with antibiotics in labor to protect the baby. ...Read more
A bacteria: Group b strep is a type of bacteria that grows on the skin and in your vagina. It can cause an infection in the baby so all women are screened for colonization in the third trimester and treated with antibiotics during labor if the screen is positive. You get it from other people who are colonized. ...Read more
Group B: Germs are a common part of our existence many types inhabit our body. Some in our poo help our digestion. Some do nothing. Some can cause problems under specific conditions. U getgbs from the environment. It tends to occupy the lower female genital tract (1/3 have it at any point).If it is there during labor & delivery, it can invade a baby causing infection or do nothing at all. ...Read more