怀孕中的流感:对孕妇,产科和胎儿的影响,诊断和管理
1Department of Obstetrics and Gynecology, Duke University, Durham, North Carolina.
Clinical obstetrics and gynecology
|July 27, 2024
概括
患有流感的孕妇面临严重的风险,包括住院和死亡. 早期使用奥塞尔塔米维尔的抗病毒治疗和接种疫苗对于减轻这些风险至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 怀孕期间的流感感染对母亲和胎儿都有重大健康风险.
- 这些风险包括增加住院,ICU入院,死亡,先天异常和死产.
研究的目的:
- 总结临床表现,诊断考虑和孕妇流感的管理.
- 强调早期抗病毒治疗和疫苗接种对于减轻不良结果的重要性.
主要方法:
- 对怀孕期间流感的临床表现和治疗指南的审查.
- 强调奥塞尔塔米维尔在治疗和预防方面的疗效.
- 强调母体疫苗接种在预防流感中的作用.
主要成果:
- 怀孕期间的流感与严重的孕产妇和新生儿并发症有关,不包括早产.
- 临床症状与非怀孕的个体相似.
- 抗病毒治疗,特别是在症状出现后48小时内开始的奥塞尔塔米维尔,显著降低了发病率和死亡率.
结论:
- 患有流感症状或暴露的孕妇应立即接受抗病毒治疗,其中oseltamivir是主要选择.
- 对流感的诊断测试对于开始治疗并非必不可少.
- 建议对孕妇进行全方位流感疫苗接种,以减少不良结果.
相关概念视频
Pneumonia V: Nursing management and Prevention
2.0K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.0K
Pneumonia IV: Management
315
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
315
Pneumonia III: Complications and Assessment
194
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
194
Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics
259
Respiratory symptoms, such as congestion and cough, commonly accompany respiratory tract conditions. Various medications, such as antitussives, expectorants, and mucolytics, play crucial roles in providing relief.
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
259
Pleural Effusion II: Symptoms and Management
161
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
161


