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Geneeskunde - Steven Van Holm > Pre- en perinatale infecties: bacterieel > Flashcards

Pre- en perinatale infecties: bacterieel Flashcards

1
Q

Groep B strept. (GBS), eigenschap

A

Gram +

kolonisatie UGT uit de GIT

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2
Q

Groep B strept. (GBS), transmissierisico

A

50% (1/3 vrouwen is gekoloniseerd) → 2/1000 neonati

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3
Q

Groep B strept. (GBS), risicofactoren

A 
pPROM
langdurige ROM
koorts
GBS urine
VG +
Jonge lft
Zwarte ras
Chorio-amnionitis
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4
Q

Groep B strept. (GBS), symptomen

A

VNS (80%): sepsis(neutropenie), pneumonie, meningitis
Laattijdig (20%)
Mortaliteit: 6-15%

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5
Q

Groep B strept. (GBS), diagnose

A

Vagino-rectale wissser (35-37w)

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6
Q

Groep B strept. (GBS), preventie

A 
Chemoprofylaxie met AB intrapartum: 
penicilline G (ampicilline, cephazoline of clindamycine)
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7
Q

Bacteriële vaginose, eigenschappen

A

Erg frequent

lactobacillen vervangen door anaëroben, mycoplasma, uroplasma, gardnerella

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8
Q

Bacteriële vaginose, risicofactoren

A

verkorte cervix
roken
↑seksuele cont
vaginaal douchen

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9
Q

Bacteriële vaginose, symptomen

A 
chorio-amnionitis
↓geboortgew
pPROM
preterme geboorte
endometritis
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10
Q

Bacteriële vaginose, diagnose

A

grijze stinkende fluor, pH>4,5, clue cells, KOH test,

gramkl.

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11
Q

Bacteriële vaginose, therapie

A

metronidazole

of clindamycine

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12
Q

Bacteriële vaginose, preventie

A

enkel vroeg screenen en behandelen bij hoog-risicogroepen

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13
Q

Chlamydia trachomatis, eigenschappen

A

Meest frequente SOA (1-3%)

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14
Q

Chlamydia trachomatis, transmissierisico

A

18-50% van de geïnfecteerde moeders heeft oogklachten

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15
Q

Chlamydia trachomatisn, symptomen

A

preterme geboorte
endometritis
ophtalmia neonatorum
nasophar kolonisatie

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16
Q

Chlamydia trachomatis, therapie

A

erythromycine
ampicilline
azitromycine

17
Q

Chlamydia trachomatis, preventie

A

zilvernitraat, tetracycline, povidonjood: maar in B niet

18
Q

Neisseria Gonorrhee, eigenschappen

A

Minder frequent

19
Q

Neisseria Gonorrhee, transmissierisico

A

18-50% van de geïnfecteerde moeders heeft oogklachten

20
Q

Neisseria Gonorrhee, symptomen

A

preterme geboorte
endometritis
ophtalmia neonatorum

21
Q

Neisseria Gonorrhee, therapie

A

ceftriaxone

azitromycine bij allergie

22
Q

Listeria monocytogenes, eigenschappen

A

gram + staaf
dieren
darm kolonisatie

23
Q

Listeria monocytogenes, symptomen

A 
preterme contracties 
pPROM
IU mortaliteit
klinisch GBS: rode verheven vlekjes
meningitis/pneum
24
Q

Listeria monocytogenes, diagnose

A

heldergroen vruchtwater

placenta: APD en gramkleuring
cultuuur: hemo en CSF

25
Q

Listeria monocytogenes, risicofactoren

A

ongewassen gr.
vis
rauwe melkkaas
slaatjes

26
Q

Listeria monocytogenes, therapie

A

ampicilline

27
Q

Listeria monocytogenes, preventie

A

voedingsadvies

Geneeskunde - Steven Van Holm (13 decks)

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