Which antibiotics treat group B strep UTI if allergic to penicillin?

GBS is susceptible to β-lactam antibiotics, including ampicillin, penicillin, and cephalosporins. With a reported penicillin allergy, alternate antibiotics include cefazolin, erythromycin, or clindamycin.

What can you take for GBS if you are allergic to penicillin?

Clindamycin and erythromycin are options for women at high risk for anaphylaxis, and vancomycin should be used in women allergic to penicillin and whose cultures indicate resistance to clindamycin and erythromycin or when susceptibility is unknown.

How do you test for penicillin allergy?

With a skin test, the allergist or nurse administers a small amount of the suspect penicillin to your skin with a tiny needle. A positive reaction to a test will cause a red, itchy, raised bump. A positive result indicates a high likelihood of penicillin allergy.

What antibiotics can you take if you are allergic to penicillin and pregnant?

Here’s a sampling of antibiotics generally considered safe during pregnancy: Penicillins, including amoxicillin (Amoxil, Larotid) and ampicillin. Cephalosporins, including cefaclor and cephalexin (Keflex) Clindamycin (Cleocin, Clinda-Derm, Clindagel)

How long to take penicillin for Group B Strep?

For Group B Strep: • Penicillin VK 500 mg PO QID x 5-7 days • Amoxicillin 500 mg PO TID x 5-7 days For pyelonephritis: IV therapy required until afebrile x 48 hrs, then switch to PO antibiotics if appropriate • Ceftriaxone 2g IV q 24hrs • Gentamicin (dosing per pharmacy) • Duration of treatment: 10-14 days total Table 3.

Can a group B Strep infection cause a UTI?

In some cases, however, group B strep can cause a urinary tract infection or more-serious infections such as blood infections (bacteremia) or pneumonia. How common is strep B UTI? The incidence of group B streptococcal disease in adults increases with age, with the highest rate in adults 65 years of age and older (25 cases per 100,000).

Which is the best antibiotics for Group B Strep?

Penicillin remains the drug of choice in the treatment of Group B Streptococcus related urinary tract infections (16). Parenteral therapy of 10 days duration is recommended for the treatment of bacteremia, pneumonia, pyelonephritis and soft tissue infections.

Can a group B streptococci infection cause GBS?

Group B streptococci have been associated with infection of iv catheters, arterial lines, polytetrafluoroethylene grafts, and an iv pacemaker wire. Coinfection with Staphylococcus aureus is common in patients who have GBS infection that is associated with the presence of an intravascular device [3, 11].