Infectious Disease In Preg Flashcards Preview

Jason's MD3 Women's > Infectious Disease In Preg > Flashcards

Flashcards in Infectious Disease In Preg Deck (38):
1

Perinatal infections?

Herpes simplex

2

Postpartum infection

Pertussis

3

Vertical transmission

In utero
In Breast milk: HIV

4

Incubation of varcella

2 weeks

5

Complications of varicella?

Pneumonitis In adults
SEcondary bacterial infection

6

When is maternal death most common in varicella?

3rd trimester

7

Congenital varicella syndrome?

Shingles in utero
Short limbs
Microcephalic
Scarring
Mental retardation
GIT, GU abnormalities

8

Wen give prophylactic VZIG?

-Post exposure (

9

Can give varicella vaccine in preg?

Nope - live vaccine

10

CMV in fetus?

Microcephalic
IUGR

11

CMV serology probs?

IgM is detectable for months
Deactivation will detect IgM

Need to do avidity testing or past serum

12

Baby asymptomatic at birth for CMV how detect?

Audiometry
Visual
Pneumonitis
Microcephalic

13

Rx of CMV?

Gancyclovir

14

Influenza and preg deaths mainly from?

Premature birth
Early and late fetal death

15

Most probs happen when with influenza?

3rd trimester

16

Group B strep

Purple G-neg in chains like a 'rockstar'

17

GBS infection how?

1. Ascending infection
2. At delivery

18

Early onset GBS when? Presents?

1-2 days after birth
Pneumonia, less common meningitis

19

Late onset GBS?

meningitis more likely

20

Abx for GBS?

-4 hours prior to delivery
-BenPen
-Ampicilin

-Clindamycin/vancomycin if allergy

21

Prophylaxis for GBS how good?

80%

22

Primary casuse of EOS?

GBS

23

When screen for GBS?

Screen at 35-37 weeks

24

When does vertical transmission happen in Hep B?

During labour and birth

E antigen +ve = 90%
E antigen -ve =

25

When give HBIG to baby?

Within 12 hours

26

Hep C vertical transmission%?

5% if higher viral load
Co-infected with HIV = 45%

27

Hep C Rx for preg?

Contraindicated

28

Can breast feed with Hep C?

Nope

29

When check Hep C in baby?

12-18 months

30

Parvovirus when infectious?

Before the rash

31

Parvoviruses can get what in utero?

Red cell aphasia if have thalassemia

Fetal Hydrops - Anaemia, cardiac failure, oedema

32

Parvovirus investigation?

SErology

33

If positive Parvovirus in mom, then what?

U/S every week for 12 weeks

34

Rubella rash lasts?

2 and 3 days

35

Rubella presents?

Lymphadenopathy: occipital node chains (95%)
Arthritis large joints

36

Rubella in >12 weeks

Retinopathy and deafness only

37

When rubella most damaging in utero?

1st trimester

38

Fetal rubella detection?

Amniotic fluid
Cord blood