RT Book, Section A1 Rogers, Vanessa L. A1 Roberts, Scott W. A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. SR Print(0) ID 1193159382 T1 Preterm Labor T2 Current Medical Diagnosis & Treatment 2023 YR 2023 FD 2023 PB McGraw-Hill Education PP New York, NY SN 9781264687343 LK accessmedicine.mhmedical.com/content.aspx?aid=1193159382 RD 2024/04/25 AB Key Clinical Updates in Preterm LaborThe recommended regimen for antimicrobial prophylaxis against group B streptococcus is penicillin G, 5 million units intravenously as a loading dose and then 2.5–3 million units intravenously every 4 hours until delivery. In penicillin-allergic patients not at high risk for anaphylaxis, 2 g of cefazolin can be given intravenously as an initial dose and then 1 g intravenously every 8 hours until delivery. In patients at high risk for anaphylaxis, vancomycin, 20 mg/kg intravenously every 8 hours until delivery, can be used. Clindamycin, 900 mg intravenously every 8 hours until delivery, can also be used after a group B streptococcal isolate has been confirmed to be susceptible to clindamycin.American College of Obstetricians and Gynecologists. Obstet Gynecol. [PMID: 34794160]