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
