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Once-Daily Ceftriaxone to Complete Therapy of Uncomplicated Group B Streptococcal Infection in Neonates A Preliminary ReportUniversity of California San Diego, Children's Hospital of San Diego, 8001 Frost Street, San Diego, CA 92123
Department of Pediatrics, Emanuel Hospital, Portland, Oregon
The Salem Pediatric Clinic, Salem, Oregon
Children's Hospital and Health Center, San Diego, California
Newborn infants minimally symptomatic with non-central nervous system (CNS) infections due to Streptococcus agalactiae (group B streptococcus [GBS]) and other pathogens may not require skilled nursing care during the entire course of parenteral antibiotic therapy. In 1985, treatment guidelines were made available to private practitioners in Oregon for therapy of newborn infants at low risk of complications from their infections. In 1988, patient data were collected and analyzed retrospectively. Outpatient management during convalescence of 51 infants (21 with culture-positive infections due to GBS) was accomplished with once-daily physician follow-up examinations and IM injection of ceftriaxone. Long-term (
Clinical Pediatrics, Vol. 31, No. 5,
274-278 (1992) This article has been cited by other articles:
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two months) follow-up data were available for 67% of GBS-infected infants, with no complication of infection or significant complication of therapy reported. Outpatient parenteral antibiotic management of selected, low-risk infants may offer the clinician an alternative to hospitalization for a portion of the duration of parenteral antibiotic therapy. 
