NICE neonatal infection guideline

12th July 2021 by Dr Louise Hudman

This is an updated guideline from NICE published in April 2021, first published in 2012.

There isn’t really anything new in this guideline for GPs – a lot of it is aimed at secondary care – but the bits relevant to us relate to Group B strep infection, risk factors for infection, and recognising an unwell newborn.

What kind of group B strep matters for newborns?

Colonisation (eg if it is found on an HVS, but isn’t thought to be causing symptoms).
Bacteriuria.
Infection of any kind.

Do we need to be extra cautious in a baby who has been treated for group B strep?

Yes – there is a risk of recurrence in the baby.

What is the impact on a future pregnancy of being group B strep positive in this pregnancy?

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