OBJECTIVE: To assess compliance with the Centers for Disease Control and Prevention (CDC) screening-based protocol for obstetric @entity1892 ( @entity1892 ) and to determine an acceptable threshold for protocol failure. STUDY DESIGN: A retrospective chart review was carried out for all deliveries performed through the resident-run community clinic from January through June 1999. Compliance with the CDC protocol was assessed by reviewing collected data from @entity1 charts and comparing it to CDC requirements. Data were collected regarding @entity1 demographics, antenatal @entity1892 status, gestational age at screening, time of rupture of the membranes, time the antibiotic was given and time of delivery. RESULTS: A total of 248 charts were reviewed. Elective cesarean deliveries were excluded (25 charts). Unknown culture status was found for 22 (9.9%) @entity1 . Cultures were collected before 35 weeks' gestation in 39 (17.5%) @entity1 and at > 37 weeks' gestation in 28 (12.6%) @entity1 . Of those with known positive @entity1892 status, 4 (7.0%) were not treated, and antibiotics were given less than four hours before delivery in 13 (24.5%) @entity1 . Of those with unknown status, six (27.2%) were not treated. Overall, there was 70% compliance with the culture collection arm of the protocol and 87% compliance with the treatment arm. CONCLUSION: Fulfillment of CDC guidelines in this community setting is imperfect. There are several areas beyond physician control, including precipitous delivery and @entity1 non-compliance. However, perhaps an acceptable threshold for limitations of adherence to the protocol can be reached.

Limitations of the obstetric XXXX protocol.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1892 :: ('MESH:D016393', 'Disease') :: ['group B Streptococcus', 'GBS']
@entity1892 :: (MESH:D016393,Disease) :: ['group B Streptococcus']
