Related Experiment Video
Updated: May 13, 2026
10:19
A Murine Model of Group B Streptococcus Vaginal Colonization
Published on: November 16, 2016
Academic detailing and adherence to guidelines for Group B streptococci prenatal screening: a randomized controlled
Jussara M Silva1, Airton T Stein, Holger J Schünemann
1Department of Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. jussaramunareto@gmail.com
BMC Pregnancy and Childbirth
|March 21, 2013
Summary
Academic detailing significantly increased Group B Streptococcus (GBS) screening rates among pregnant women compared to direct mail or no intervention. This intervention is key for improving adherence to GBS screening guidelines.
Area of Science:
- Obstetrics and Gynecology
- Infectious Disease Prevention
- Healthcare Quality Improvement
Background:
- Clinical practice guidelines advocate universal prenatal screening for Group B Streptococcus (GBS).
- Early onset neonatal GBS infection is preventable with intrapartum antibiotic prophylaxis.
- Physician adherence to GBS screening guidelines requires effective interventions.
Purpose of the Study:
- To evaluate the effectiveness of academic detailing (AD) for obstetricians in promoting GBS screening.
- To compare AD with direct mail (DM) and no intervention (control) on GBS screening rates.
Main Methods:
- A randomized controlled trial involving 241 obstetricians in Porto Alegre, Brazil.
- Obstetricians were randomized into direct mail, academic detailing, and control groups.
- GBS screening data were collected for 3 months pre- and post-intervention via a private health insurance database.
Main Results:
- The AD group showed a higher proportion of pregnant women screened for GBS (25.4%) compared to DM (15.9%) and control (17.7%) groups (P=0.023).
- Analysis of vaginal deliveries revealed significantly higher screening in the AD group (75%) versus DM (41.9%) and control (30.4%) groups (P<0.001).
Conclusions:
- Academic detailing effectively increased the prevalence of GBS screening among pregnant women in the studied population.
- AD represents a successful strategy for enhancing adherence to GBS screening protocols.
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