infection 173-175

Question 1

how does bacteria in amniotic fluid come into contact with foetus

Answer 1

the fluid is in direct contact with the babies lungs

Question 2

what will a foetus with infected amniotic fluid have

Answer 2

pneumonia and sepsis

Question 3

how do congenital viral infections get to the foetus

Answer 3

placenta following maternal infection

Question 4

what increases the risk of early onset infection

Answer 4

prolonged rupture of the membranes = chorioamnionitis

Question 5

how do newborns present with infection

Answer 5

respiratory distress, apnoea and temperature instability

Question 6

neborns infection investigations

Answer 6

chest xray and FBC

Question 7

initial therapy for late onset infection of the newborn

Answer 7

gentamycin and flucloxacillin

Question 8

risk of prolonged use of broad spec abx

Answer 8

fungal infcetions in prems

Question 9

neonatal maningitis presentation

Answer 9

non specific

bulging fontanelle and hyperextension of neck and back (opisthotonos) are late signs

Question 10

treatment for meningitis

Answer 10

penicillin and a cephlasporin

Question 11

name a cephlasporin

Answer 11

cefotaxime

Question 12

early onset Group B streptococcal infection disease

Answer 12

RDS and pneumonia

Question 13

late onset Group B streptococcal infection disease

Answer 13

meningitis

Question 14

where does the mother get Listeria monocytogenes from

Answer 14

unpasteurised milk, soft cheeses and undercooked poultry

Question 15

how does Listeria monocytogenes get to the foetus

Answer 15

placenta

Question 16

what symptoms will a mother get with listeria monocytogenes

Answer 16

flu like

Question 17

affects of listeria monocytogenes on the foetus

Answer 17

spontaneous abortion, preterm or neonatal sepsis

Question 18

signs of listeria monocytogenes in the infant

Answer 18

meconium staining of the liquor
widespread rash
septicaemia
pneumonia
meningitis

Question 19

how does late onset disease of listeria monocytogenes present

Answer 19

meningitis

Question 20

infective conjuctivitis in newborn bacteria

Answer 20

staphylococcal and streptococcal

Question 21

what do you treat infective conjuctivitis with

Answer 21

topical antibiotic eye ointment, e.g. neomycin

Question 22

common time for newborns to get conjuctivitis

Answer 22

day 3/4

Question 23

how would gonococcal infection present

Answer 23

Purulent discharge with conjunctival injection and

swelling of the eyelids within the first 48 hr

Question 24

danger of gonococcal infection

Answer 24

vision loss

Question 25

how does Chlamydia trachomatis eye infection present

Answer 25

purulent discharge
swollen eyelids
1-2 weeks old

Question 26

Chlamydia trachomatis eye infection treatment

Answer 26

oral erythromycin for 2 weeks

Question 27

how to treat umbilical infcetion

Answer 27

silver nitrate

Question 28

how is HSV transmitted

Answer 28

passage through vagina or can be ascending

Question 29

treatment for HSV infcetion

Answer 29

aciclovir