Group B Strep in urine samples | Right Decisions

Right Decisions
Antimicrobial prescribing: NHS Forth Valley
Acute Hospital Guidance
Back
Obstetrics
Group B Strep in urine samples

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Treatment of significant bacteriuria including asymptomatic is required.

Significant bacteriuria with Group B Strep will be reported with antibiotic treatment options e.g. Sensitive: Amoxicillin, Cefalexin. These results prompt treatment with an antibiotic for 7 days.

Group B Strep can occasionally be present in urine but not meeting criteria for significant bacteriuria e.g. very low quantity or mixed with other organisms suggesting genital tract/perineal contamination.

This will be reported without an antibiotic sensitivity as “No significant growth including Strep agalactiae (Gp B Strep)” or “Mixed organisms probable contamination including Strep agalactiae (Gp B Strep)” with the comment “Growth from sample not significant for diagnosis of UTI, however, presence of Group B Strep has been reported as relevant for antibiotic prophylaxis in labour.”

These results DO NOT require immediate antibiotic treatment, however, presence should be recorded so that Group B Strep antibiotic prophylaxis is given at onset of labour.

n.b. Empirical antibiotic may still be indicated in these patients e.g. if patient has clinical symptoms of UTI