[5] Common Infections in Obstetrics Flashcards
What test indication would indicate an Acute Infection of Hepatitis B
IgM Anti-HBc
Why do we test for Anti-HAV IgM for diagnosing HBV
To exclude acute viral Hepatitis A on top of Chronic Hepatitis B
Optimal period of time to give active and passive vaccine to neonates
Within 12 hours
Do all pregnant women have to be screened for ASB?
Yes, and a URINE CULTURE has to be done, not a urinalysis
Most common urinary tract complication in pregnant women
Acute Pyelonephritis
Most common pathogen of Acute Pyelonephritis
E. Coli
Why can you not give Nitrofurantoin during 3rd Term Pregnancy/After 34th week
Affects glutathione reductase activity leading to hemolytic anemia in babies with G6PD deficiency
Why do you not give Co-amoxiclav during the 1st and 3rd Trimester?
Necrotizing Enterocolitis without prolonging pregnancy
Why do you not give Cotrimoxazole 1st and 3rd Trimester?
Sulfonamides may cross the placenta and are excreted in the milk causing kernicterus
During pregnancy they may interfere with folic acid metabolism
Most common cause of Pneumonia in children
Haemophilus influenzae
Good quality Sputum CS
25 LPF
Most common STI causing Vaginitis
Triochomonas vaginalis
Trichomonas is what kind of an organism?
Protozoan
How do you give Metronidazole during pregnancy with TV?
2 grams single dose
How do you give Clindamycin during pregnancy with TV?
300 mg 2x/day for 7 days
Function of Benzathine in relation to Penicillin
Extends its half life
[Interpret]
HBsAG ( - )
Total Anti-HBc ( - )
Anti-HBs ( - )
Susceptible
[Interpret]
HBsAG ( + )
Total Anti-HBc ( + )
IgM Anti-HBc ( + )
Anti-HBs ( - )
Acute Infection
Treatment for HB Positive Pregnant Mothers
Tenofovir > Telbivudine > Lamivudine
How do you characterize high quality of evidence, strong recommendation for Asymptomatic Bacteriuria
2 consecutive voided or one catheterized urine specimen with bacterial strain greater than 100,000 CFU/mL
Antibiotics for ASB in Pregnancy
Nitrofurantoin Co-Amoxiclav Cephalexin Fosfomycin Cotrimoxazole
Duration of treatment for acute uncomplicated pyelonephritis
14 days
Pleural effusion is present in 50% of pneumonia cases caused by this organism
H. influenza
Management of Low Risk CAP
Previously Healthy: Amoxicillin
Stable Comorbid Disease: B-Lactam Inhibitor / 2nd Gen Cephalosphorin
