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group B streptococcus screen

A swab test in late pregnancy that checks the vagina and rectum for group B streptococcus bacteria.

groop bee strep-toe-KOK-us skreen noun

What it means

Group B streptococcus (GBS) lives harmlessly in the gut and vagina of many healthy adults, but it can cause serious infection in a newborn exposed during birth. Pregnant clients are swabbed (lower vagina and rectum) at about 36 to 37 weeks. A positive result means IV antibiotics, usually penicillin, are given during labor, ideally starting at least 4 hours before birth.

For the nurse

Check the GBS result when a client is admitted in labor, and start antibiotics promptly as ordered for a positive or unknown result with risk factors. Watch the newborn for signs of infection.

At a glance

Normal rangeNegative
Also writtenGBS culture, GBS screen, group B strep culture

Related terms

antibiotic

A drug that kills bacteria or stops them from growing.

Streptococcus

A group of round bacteria that grow in chains, some of which cause infections in people.

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