infection 173-175 Flashcards
how does bacteria in amniotic fluid come into contact with foetus
the fluid is in direct contact with the babies lungs
what will a foetus with infected amniotic fluid have
pneumonia and sepsis
how do congenital viral infections get to the foetus
placenta following maternal infection
what increases the risk of early onset infection
prolonged rupture of the membranes = chorioamnionitis
how do newborns present with infection
respiratory distress, apnoea and temperature instability
neborns infection investigations
chest xray and FBC
initial therapy for late onset infection of the newborn
gentamycin and flucloxacillin
risk of prolonged use of broad spec abx
fungal infcetions in prems
neonatal maningitis presentation
non specific
bulging fontanelle and hyperextension of neck and back (opisthotonos) are late signs
treatment for meningitis
penicillin and a cephlasporin
name a cephlasporin
cefotaxime
early onset Group B streptococcal infection disease
RDS and pneumonia
late onset Group B streptococcal infection disease
meningitis
where does the mother get Listeria monocytogenes from
unpasteurised milk, soft cheeses and undercooked poultry
how does Listeria monocytogenes get to the foetus
placenta
what symptoms will a mother get with listeria monocytogenes
flu like
affects of listeria monocytogenes on the foetus
spontaneous abortion, preterm or neonatal sepsis
signs of listeria monocytogenes in the infant
meconium staining of the liquor widespread rash septicaemia pneumonia meningitis
how does late onset disease of listeria monocytogenes present
meningitis
infective conjuctivitis in newborn bacteria
staphylococcal and streptococcal
what do you treat infective conjuctivitis with
topical antibiotic eye ointment, e.g. neomycin
common time for newborns to get conjuctivitis
day 3/4
how would gonococcal infection present
Purulent discharge with conjunctival injection and
swelling of the eyelids within the first 48 hr
danger of gonococcal infection
vision loss
how does Chlamydia trachomatis eye infection present
purulent discharge
swollen eyelids
1-2 weeks old
Chlamydia trachomatis eye infection treatment
oral erythromycin for 2 weeks
how to treat umbilical infcetion
silver nitrate
how is HSV transmitted
passage through vagina or can be ascending
treatment for HSV infcetion
aciclovir
