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To avoid bacterial resistance I reserve antibiotics for moderate cases. The treatment for GBS is antibiotics once the membranes rupture or labor starts, which comes first. The first options are penicillin, but ampicillin, a closely related drug, doubles. Women with mild allergies to penicillin can usually receive a drug called cefazolin (also known as Ancef). Options for females with a serious penicillin allergy include clindamycin and erythromycin; however, these drugs don't always work and so the lab has to perform special testing to see if these antibiotics can kill the strain of GBS which is present (this is known as susceptibility testing). Penicillin, ampicillin, and cefazolin always " cure " GBS so testing isn't necessary. If a woman features a penicillin allergy and her strain of GBS is resistant against clindamycin and erythromycin an extremely high-power antibiotic called vancomycin should be used. The U.S. Center for Disease Control (CDC) advises that most symptomatic expectant women be screened and treated for BV while pregnant. There are various treatments, that include topical or oral medication with Clindamycin or Metronidazole.
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