Rutgers University School of Nursing, Newark, New Jersey.
Vanderbilt University School of Nursing, Nashville, Tennessee.
J Midwifery Womens Health. 2020 May;65(3):376-381. doi: 10.1111/jmwh.13085. Epub 2020 Feb 25.
Screening and management of group B streptococcus (GBS) bacteriuria in pregnancy aims to reduce the incidence of pyelonephritis and GBS-related neonatal morbidity and mortality. Universal screening and management of GBS bacteriuria in pregnancy are standards of care in the United States; however, some women may decline guideline-based recommendations for screening, treatment, or intrapartum antibiotic prophylaxis. This article uses a case study approach to discuss evidence-based, patient-centered care for GBS bacteriuria in pregnancy as well as ethical incorporation of individual patient preferences and values.
对妊娠期间 B 组链球菌（GBS）菌尿症的筛查和管理旨在降低肾盂肾炎和 GBS 相关新生儿发病率和死亡率。在美国，对妊娠期间 GBS 菌尿症进行普遍筛查和管理是护理标准；然而，一些女性可能会拒绝基于指南的筛查、治疗或产时抗生素预防建议。本文采用病例研究的方法，讨论了妊娠期间 GBS 菌尿症的基于证据、以患者为中心的护理方法，以及如何将个体患者的偏好和价值观纳入其中。
