Clinical Audit: Review of Compliance with Group B Streptococcus guidelines

Author : Dr. Tasnim Zahid Hussain

Abstract :Methodology • Audit questions were decided based on MSE/RCOG guidance. • A smart sheet was formulated to maintain online records. • 50 random patients who delivered in 2024 and who had GBS colonisation were selected. • A retrospective case notes review was conducted using scanned patient hand-held notes, Acute Care Portal and Medway computer systems. • The data was analysed and reviewed by the clinical audit team. Aim & Objectives To measure if standards of practice are met to prevent EOGBS disease and subsequently to assure that a high-quality care is provided to all women who are colonised with GBS. Audit Questions 1. If woman had GBS UTI, was she Rxed with appropriate antibiotics at diagnosis? 83% 2. Was GBS leaflet given to woman who have GBS identified? 24% 3. Were records marked with GBS sticker on front or an alert made on the Medway system? 90% 4. In h/o GBS in previous pregnancy, was IAP offered or GBS test and IAP, if +ve? 25% 5. Was appropriate IAP given to women who were colonised with GBS? 81% 6. If woman had pyrexia in labour, was she given appropriate antibiotic including Rx to prevent EOGBS? 67% 7. If woman had PPROM between 34 and 37 weeks and GBS +ve, was she offered immediate birth by IOL or CS? 0% 8. If woman had PROM at or after 37 weeks and GBS +ve, was she offered immediate birth by IOL or CS? 75

Keywords :GBS colonisation, EOGBS prevention, IAP, antibiotics, audit, Medway alerts, PROM, PPROM, maternal care quality, patient records, RCOG standards.

Conference Name :International Conference on Reducing Maternal and Child Mortality and Morbidity (ICRMCMM-25)

Conference Place Raozan Upazila, Raozan Upazila

Conference Date 10th Jun 2025