REBEL Cast REBEL Core Cast 117.0 – Infections of Pregnancy
Feb 7, 2024
Infections during pregnancy can lead to severe complications and are a major cause of maternal mortality. The discussion dives into common infections, particularly urinary tract infections, and highlights their treatment protocols. Timely intervention is crucial to safeguard both maternal and neonatal health. Listeners will learn about the importance of diagnostic tests, broad-spectrum antibiotics, and the necessity of careful monitoring and teamwork among healthcare professionals to ensure effective management.
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Aggressive Management Of Pyelonephritis
- Treat most pregnant patients with pyelonephritis more aggressively than nonpregnant patients.
- Admit for IV antibiotics and close monitoring rather than routine outpatient oral therapy.
Oral Options For Uncomplicated UTI In Pregnancy
- For uncomplicated cystitis in pregnancy treat with nitrofurantoin or cephalexin.
- Reserve IV therapy and admission for signs of pyelonephritis like fever, nausea, or flank pain.
High-Sensitivity Approach To Chorioamnionitis
- Chorioamnionitis diagnosis favors sensitivity over specificity because signs are nonspecific.
- Use maternal fever plus two criteria and obtain cultures, ultrasound, and avoid digital cervical exams.
Take Home Points Infections are a leading cause of maternal mortality worldwide. Prompt recognition is critical in management. Most infectious processes will require admission and close observation for improvement or decompensation. REBEL Core Cast 117.0 – Infections of Pregnancy Click here for Direct Download of the Podcast Urinary Tract Infection/Pyelonephritis Epidemiology: Occurs in as many ...