Postpartum problems

Question 1

What are the most common organisms causing sepsis in the puerperium? (5 of them)

Answer 1

Group A Streptococcus (Strep pyogenes)
E.coli
Staph aureus
Strep pneumoniae
MRSA

Question 2

What is the most commmon organism causing maternal death due to sepsis?

Answer 2

Streptococcus pyogenes

Question 3

Severe haemoptysis and a low white cell count is suggestive of which pneumonia causing organism?

Answer 3

PVL-associated staphylococcal necrotising pneumonia

Question 4

When is it advisable to treat pharyngitis with antibiotics?

Answer 4

When 3/4 of the Centor criteria are met:
- fever
- tonsillar exudate
- no cough
- tender cervical lymphadenopathy

Question 5

What is the most common causative organism in spinal abscess?

Answer 5

Staph aureus

Question 6

Why should NSAIDs be avoided for analgesia in sepsis?

Answer 6

They impede the ability of polymorphs to fight Group A Streptococcus

Question 7

What must be considered in fever with agonising pain in the puerperium?

Answer 7

Necrotising fasciitis

Question 8

Which pathogen is acquired by contact with aborting sheep or infected birds?

Answer 8

Chlamydophila psittaci

Question 9

Which pathogen causes Q fever?

Answer 9

Coxiella burnetti

Question 10

What does thrombocytosis, rising CRP and swinging pyrexia usually indicate?

Answer 10

A collection of pus or infected haematoma

Question 11

When Tazosin is ineffective in puerperal sepsis, which organism should be suspected?

Answer 11

ESBL

Question 12

What is the main contraindication to IVIG?

Answer 12

Congenital deficiency of immunoglobulin A