Infectious Disease Flashcards
Drug of choice for bacterial vaginosis
Metronidazole
Treatment of syphilis in pregnancy
Benzathine Pen G IM single dose
Green yellow frothy discharge
Strawberry cervix
Metronidazole 2g single dose- until after 1st trimester; treat regardless if symptomatic
Partners should be treated
Trichomonas
In trichomonas infection, breastfeeding must be withheld up to how many hours after the last dose?
12-24 hours
Most common manifestation of vulvovaginal candidiasis
Vulvar priritus
Recommended treatment for candiasis for pregnant women
TOPICAL azole creams
Fluconazole contraindicated
Drug of choice for chlamydia in pregnancy
Azithromucin 1g PO single dose
Ophthalmia neonatorum
Septic aborion
PROM
Chorioamnionitis
May be seen in what infection
Gonorrhea
Treatment for gonorrhea
Ceftriaxone 250mg IM single plus treatment for chlamydia ( azith 1g PO single dose)
Appears after penicillin treatment of syphilis characterized by uterine contractions accompanied by late fetal heart deceleration
Jarisch-Herxheimer reaction
Can women with HSV infection breastfeed?
Yes as long as there are no active lesions in the breast
Fetal immunity begins to develop during what age of gestation?
9-15 weeks AOG
What immunoglobulin is the primary fetal response to infection?
IgM
If given varicella and MMR vaccine, how long till you can get pregnant?
1 month after vaccination
Pregnant women without history should receive varicella zoster Ig if with significant exposure to a person infected within
96 hours of exposure
Varicella zoster Ig must be given to neonates if mother has clinical evidence when?
5 days before and up to 2 days after delivery
How many weeks AOG has a 90% chance of developing congenital rubella syndrome?
First 12 weeks
Most common single defect in congenital rubella
Sensorineural deafness
Heart defect in congenital rubella
PDA
Most common perinatal infection
CMV
Clostridium infection due to this species can cause septic abortion
C. perfringens
This bacterial infection can cause preterm labor, PROM and chorioamnionitis
Group B strep
Universal vaginal and rectal GBS screening culture is done at
35-37 weeks
Intrapartum Antimicrobial prophylaxis for GBS
Pen G
Amniotic fluid brownish in color Stillbirth Disseminated granulomatous lesions Chorioamnionitis Macroabscess in placenta
Listeriosis
Treatment for listeria monocytogenes
Ampicillin gentamicin
Prevention of food borne transmission
Raw undercooked meat
Cat feces with oocysts
Endemic in PH
Toxoplasmosis
Toxoplasmosis triad
Chorioretinitis
Intracranial calcifications
Hydrocephalus
This drug prevents congenital infection of toxoplasmosis
Spiramycin
This drug for toxoplasmosis eradicates parasites in placenta and fetus
Given after 18 weeks or suspected fetal infection
Pyrimethamine, sulfonamides and folinic acid
Gold standard for diagnosis of malaria
Blood smear
Contraindicated for malaria in pregnancy
Primaquine and doxycycline
Drug of choice for amebiasis in pregnancy
Metronidazole
Metronidazole targets what stage of the amoeba
Trophozoite stage
If with exposure to Zika, delaying conception should be done for how many weeks?
Women- 8 weeks
Men- 6 months
