Chlamydial Cervicitis And HIV in Pregnancy Flashcards Preview

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Flashcards in Chlamydial Cervicitis And HIV in Pregnancy Deck (13)
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Optimal treatment of HIV infection in pregnancy?

1. HAART (With liver function monitoring)
2. Elective C-section
3. Oral zidovudine to neonate

1

Patient with chlamydia infection – treatment? Treatment in pregnant patients?

Doxycycline

Erythromycin (But not erythromycin estolate), oral azithromycin, or oral amoxicillin (tetracyclines are contraindicated in pregnancy)

2

Complications of chlamydial endocervical infection in pregnant mother? In neonate?

No complications for pregnancy, but implicated in neonatal conjunctivitis and pneumonia

3

Chlamydial infections in mother? In neonate?

Urethritis, mucopurulent cervicitis, late postpartum endometritis

Neonatal conjunctivitis, pneumonia

4

Prophylaxis for gonococcal conjunctivitis versus chlamydial conjunctivitis?

Eye ointment prophylaxis successful versus unsuccessful

5

Test for chlamydia?

Direct fluorescent antibody test or PCR

6

gonococcal cervicitis associated with?

Mother – abortion, preterm labor, PPROM, chorioamnionitis, postpartum infection

Neonate – neonatal sepsis

7

Untreated gonococcal ophthalmia can progress to?

Corneal scarring and blindness

8

Maternal treatment of gonococcal cervicitis?

IM ceftriaxone

9

Antibodies to HIV virus usually detectable when?

One month after infection

10

Goal HIV viral load in pregnancy?

Under 1000 RNA copies/mL

11

Types of cells most affected by chlamydia?

Columnar and transitional epithelium

12

Patient with HIV presents in labor – management?

Too late for C-section (will not affect vertical transmission)

Give IV ZDV and minimize trauma to the baby