The document summarizes changes to CDC guidelines for prevention of early-onset group B streptococcal (GBS) disease. Key changes include: expanded laboratory detection options for GBS; revised thresholds for reporting GBS in urine cultures; clarified definitions of adequate antibiotic prophylaxis and high risk for anaphylaxis; and adjustments to neonatal management algorithms to reduce unnecessary evaluations. Guidelines emphasize using cefazolin over clindamycin or vancomycin when possible for penicillin-allergic women.

1. Group B Strep 2010 CDC GBS REVISION of 2002 guidelines What’s new 2010 CDC COPY & PASTE MMWR November 19, 2010 / 59(RR10);1-32

33. If a patient is going to manifest an elevated temperature from an epidural the literature has demonstrated it typically occurs within the first 4 hours after epidural Results closely resemble the findings of Camann who demonstrated a maternal temperature increase of 1.3ºF versus 1.1ºF (0.33ºF/hr in the first 4 hours). Br J Anaesth 1991;67:565–8. Obstet Gynecol 2007;109:687–90