Background: One of every four or five pregnant women carries GBS in her rectum or vagina. Although in the non-pregnant state this has little cause for concern but it is well understood that this can have devastating effects during pregnancy for mother and her newborn. Nearly 75% of the cases of GBS infection among newborns occur in the first week of life. Although it is very rare, GBS infection may also develop in babies one week to several months after birth. Meningitis is more common with late-onset GBS infection. The CDC has updated their prevention guidelines effective in 2010.

Case: This poster presentation will provide a case study of a 28 6/7 week gestation male twin who developed GBS meningitis on day 76 of life. The case study will demonstrate the fragility of the NICU population even as infants are approaching discharge. 

Conclusion: Astute nurses in conjunction with the entire care team must be vigilant in their assessments and understand the potential risks, the importance of timely recognition and intervention, and equally important, the impact on the family. Nurses must remain cognizant of the most current treatment guidlines.

Keywords:  GBS Infection, Late- onset,  CDC,