IIA Flashcards

1
Q

definicion iia

A

precencia de germenes en la cavidad amniotica
dg por cultivo (amct)

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2
Q

definicion corioamnionitis

A

cuadro clinico de la presencia de germenes en cavidad amniotica
dg por criterios

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3
Q

complicaciones maternas

A
  • tp disfuncional, requiere mas intervencion
  • inercia uterina con hemorragia postparto
  • endometritis, peritonitis
  • sepsis
  • dindrome de dificultad resp
  • muerte
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4
Q

complicaciones rn

A
  • neominua
  • meningitis
  • sepsis
  • muerte
  • complicaciones a largo plazo relacionado con pulmones y snc
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5
Q

mecanismo de infeccion

A

germenes invaden via ascendente por la vagina e infecta interfase coriodecidual (si la bolsa amniotica esta rota se infecta LA en este moemnto) luego se infecta bolsa amniotica, luego LA y luego el feto por deglucion

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6
Q

diagnostico corioamnionitis clinica (criterios, seria sospeche de IIA)

A
  • fiebre materna (+39oral)
  • mas 1: leucucitosis materna +15.000, secrecion purolenta de OCE, taquicardia fetal +160lpm
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7
Q

diagnostico confirmacion IIA

A
  • resultado + de prueba LA
  • histologia placentaria que muestra corioamnionitis histologica
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8
Q

TTO corioamnionitis

A

interrupcion independiente eg
penicilina 5m iu ev c/6hrs (administracion atb ev hasta parto y dsps vo +antipireticos)

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9
Q

manejo iia asintomatica +34S

A
  • interrupcion vv
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10
Q

manejo iia asintomatica 30-34s

A

atb +corticoides
interrupcion a las 48hrs

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11
Q

manejo iia asintomatica 24-30s

A

atb y expectante, amct terminando tto atb

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12
Q

manejo iia asintomatica -24s

A

atb y vigilancia estricta
interrupcion cuando hayan signos de infeccion

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