Chlamydial Cervicitis And HIV in Pregnancy

Question 0

Patient with chlamydia infection – treatment? Treatment in pregnant patients?

Answer 0

Doxycycline

Erythromycin (But not erythromycin estolate), oral azithromycin, or oral amoxicillin (tetracyclines are contraindicated in pregnancy)

Question 1

Optimal treatment of HIV infection in pregnancy?

Answer 1

1. HAART (With liver function monitoring)
2. Elective C-section
3. Oral zidovudine to neonate

Question 2

Complications of chlamydial endocervical infection in pregnant mother? In neonate?

Answer 2

No complications for pregnancy, but implicated in neonatal conjunctivitis and pneumonia

Question 3

Chlamydial infections in mother? In neonate?

Answer 3

Urethritis, mucopurulent cervicitis, late postpartum endometritis

Neonatal conjunctivitis, pneumonia

Question 4

Prophylaxis for gonococcal conjunctivitis versus chlamydial conjunctivitis?

Answer 4

Eye ointment prophylaxis successful versus unsuccessful

Question 5

Test for chlamydia?

Answer 5

Direct fluorescent antibody test or PCR

Question 6

gonococcal cervicitis associated with?

Answer 6

Mother – abortion, preterm labor, PPROM, chorioamnionitis, postpartum infection

Neonate – neonatal sepsis

Question 7

Untreated gonococcal ophthalmia can progress to?

Answer 7

Corneal scarring and blindness

Question 8

Maternal treatment of gonococcal cervicitis?

Answer 8

IM ceftriaxone

Question 9

Antibodies to HIV virus usually detectable when?

Answer 9

One month after infection

Question 10

Goal HIV viral load in pregnancy?

Answer 10

Under 1000 RNA copies/mL

Question 11

Types of cells most affected by chlamydia?

Answer 11

Columnar and transitional epithelium

Question 12

Patient with HIV presents in labor – management?

Answer 12

Too late for C-section (will not affect vertical transmission)

Give IV ZDV and minimize trauma to the baby