التفاصيل البيبلوغرافية
| العنوان: |
DO WE REALLY NEED TO WORRY ABOUT LISTERIA IN PREGNANT WOMEN? |
| المؤلفون: |
Elena, Bucuri Carmen1, Razvan, Ciortea1, Mihai, Măluţan Andrei1, Berceanu, Costin1, Patricia, Rada Maria1, Dan, Mihu1 |
| المصدر: |
Journal of Perinatal Medicine. 2017 Supplement, Vol. 45, p237-237. 1p. |
| مصطلحات موضوعية: |
*CONFERENCES & conventions, *LISTERIOSIS, *PREGNANT women |
| مصطلحات جغرافية: |
SERBIA |
| مستخلص: |
Listeria monocytogenes is a ubiquitous Gram-positive bacillus widespread in nature. About one in seven cases of listeriosis occurs in pregnant women and, although listeriosis is rare, it is the third leading cause of death from food-borne infections. Maternal listeriosis is a diagnostic challenge and intrauterine infection can lead to severe complications such as preterm labor, amnionitis, spontaneous abortion, stillbirth and neonatal sepsis. Reliable laboratory testing for early diagnosis is lacking. Serological antibody tests and bacteriological stool tests are not helpful since Listeria-specific antibodies and stool cultures yielding the organism can be found in healthy pregnant women. During pregnancy, infections are more likely to occur in the third trimester (66%) than the first trimester (3%). However, as gestational age increases, fetal and neonatal adverse effects are less common. Neonatal infection is divided into early and late neonatal listeriosis. The early one occurs in the first four days of life, frequently in premature infants, who acquire the microorganism transplacentally and in 50% of cases develop sepsis, with or without meningeal involvement. It is the most frequent way of seeing in obstetrics. Listeria monocytogenes is sensitive to several antimicrobials. However, it exhibits natural resistance to third generation cephalosporins, fosfomycin and quinolones. Clinical experience shows that the drugs of choice are amoxicillin or ampicillin, in high doses. In order to get better results of the Listeriosis etiological diagnostic it is very important to associate maternal data and clinical and laboratory findings of the newborn with the pathologic placental findings. And yes, we need to worry about this disease because although Listeriosis is a rare affection that could cause mild maternal illness, can be devastating to the fetus, that why we should emphasize monitoring for symptoms consistent with listeriosis and set a low threshold for medical evaluation of those who are symptomatic. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
Academic Search Index |
