Randomized Clinical Trial of Intrapartum Clindamycin Cream for Reduction of Group B Streptococcal Maternal and Neonatal Colonization
1996

Clindamycin Cream for Reducing Group B Strep Colonization

Sample size: 15 publication Evidence: low

Author Information

Author(s): R.S. Gibbs, F. McNabb

Primary Institution: University of Colorado School of Medicine

Hypothesis

Does intravaginal 2% clindamycin cream reduce maternal and neonatal colonization of group B streptococci in pregnant women without risk factors?

Conclusion

Intravaginal 2% clindamycin cream was ineffective in reducing colonization with group B streptococci.

Supporting Evidence

  • 5 out of 5 women receiving the cream remained positive for group B strep.
  • 2 out of 6 neonates from women receiving the cream were positive.
  • 3 out of 4 women receiving no treatment remained positive.
  • 1 out of 4 neonates from women receiving no treatment was positive.

Takeaway

The study tested a cream to help pregnant women not get sick from a bacteria, but it didn't work.

Methodology

Women were randomized to receive either clindamycin cream or no treatment, and cultures were taken to test for group B streptococci.

Limitations

The study was terminated prematurely due to low effectiveness and small sample size.

Participant Demographics

All participants were pregnant women at or beyond 37 weeks gestation.

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