Postpartum problems Flashcards
What are the most common organisms causing sepsis in the puerperium? (5 of them)
Group A Streptococcus (Strep pyogenes)
E.coli
Staph aureus
Strep pneumoniae
MRSA
What is the most commmon organism causing maternal death due to sepsis?
Streptococcus pyogenes
Severe haemoptysis and a low white cell count is suggestive of which pneumonia causing organism?
PVL-associated staphylococcal necrotising pneumonia
When is it advisable to treat pharyngitis with antibiotics?
When 3/4 of the Centor criteria are met:
- fever
- tonsillar exudate
- no cough
- tender cervical lymphadenopathy
What is the most common causative organism in spinal abscess?
Staph aureus
Why should NSAIDs be avoided for analgesia in sepsis?
They impede the ability of polymorphs to fight Group A Streptococcus
What must be considered in fever with agonising pain in the puerperium?
Necrotising fasciitis
Which pathogen is acquired by contact with aborting sheep or infected birds?
Chlamydophila psittaci
Which pathogen causes Q fever?
Coxiella burnetti
What does thrombocytosis, rising CRP and swinging pyrexia usually indicate?
A collection of pus or infected haematoma
When Tazosin is ineffective in puerperal sepsis, which organism should be suspected?
ESBL
What is the main contraindication to IVIG?
Congenital deficiency of immunoglobulin A
What cord blood samples should be taken when the woman had red cell antibodies identified during pregnancy?
Direct Antiglobulin Test
FBC
Bilirubin
How long does Misoprostol take to improve uterine tone?
1 to 2.5 hours
What is the mortality rate of severe sepsis with end organ damage?
20-40%
What dosing strategy should be used for FFP in the context of ongoing massive obstetric haemorrhage?
If no haemostatic results available, give 12-15ml/Kg FFP after 4 units of red cells
