Effect of Resident Physician Education on Group B Streptococcal Sepsis Prevention
Author Information
Author(s): Jeffrey S. Greenspoon, Doron J.D. Rosen, Anita P. Sumen
Primary Institution: Cedars-Sinai Medical Center
Hypothesis
Does a resident education program for selective chemoprophylaxis reduce the incidence of early onset group B streptococcal sepsis?
Conclusion
The education program did not significantly reduce the incidence of early onset group B streptococcal sepsis.
Supporting Evidence
- The incidence of GBS EOS was 0.05% before and 0.064% after the education program.
- Compliance with chemoprophylaxis was voluntary and not consistently monitored.
- Some cases of GBS EOS occurred in infants without risk factors.
Takeaway
Teaching doctors about preventing a type of infection in newborns didn't help lower the number of babies getting sick.
Methodology
The study reviewed cases of GBS EOS before and after a resident education program over two 2-year periods.
Potential Biases
Potential bias due to voluntary compliance with chemoprophylaxis recommendations.
Limitations
The study did not determine the compliance rate with chemoprophylaxis among patients with risk factors.
Participant Demographics
Participants included pregnant women at an urban, university-affiliated community hospital.
Statistical Information
Confidence Interval
95% CI -0.071% to 0.04%
Statistical Significance
P not significant
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