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Under both strategies, intrapartum antibiotic prophylaxis was recommended for women with GBS bacteriuria at any time during their current pregnancy or for women who had given birth previously to an infant with invasive early-onset GBS disease.

Developing or worsening heart failure is a common complication that should be monitored for during short-term follow-up ( Class I; Level of Evidence C).

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Despite the development of bacterial resistance, which was noted shortly after the penicillins were introduced, these drugs are still widely used, and new penicillin derivatives are being developed.

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As previously mentioned in an earlier section (3D Echocardiography and Other Imaging Modalities), some have advocated this strategy in all patients who are to undergo valve surgery to identify those who may harbor embolic lesions that could pose a higher risk of intracranial bleeding with cardiopulmonary bypass and heparin administration used for cardiac surgery.

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Alternate Text: The figure shows the percentage of pregnant women who were screened for group B streptococcal colonization in the 10 Active Bacterial Core surveillance areas during 1998-1999 and 2003-2004.

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Providers using the culture-based screening method screened all pregnant women for vaginal and rectal GBS colonization between 35 and 37 week's gestation.

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