24.11.09 PPT On Intrauterine Infection
24.11.09 PPT On Intrauterine Infection
24.11.09 PPT On Intrauterine Infection
ON
INTRAUTERINE INFECTION
(CONGENITAL INFECTION)
GUIDE: CO-GUIDE:
DR. INDRA BHATI DR. HANSLATA GEHLOT
PRAMOTED BY :
DR. C.P. KACHHAWAHA
PRESENTED BY :
DR. DHARA
DR. S.N. MEDICAL COLLEGE,
UMAID HOSPITAL, JODHPUR (RAJ.)
INTRAUTERINE INFECTION
Or
(CONGENITAL INFECTION )
Parvovirus B19
Listeria
E.coli
GBS infection
R- Rubella
C- Cytomegalovirus infection
H- Herpes simplex virus
Toxoplasmosis
This is a parasitic infection caused by Toxoplasma gondii.
Most infants are asymptomatic during the neonatal
tissue damage.
The tissue cyst (bradyzoite):
The second form of parasite is formed within host cell as early
Life cycle:
cat is definitive host in which sexual phase of the
cycle is completed. Oocyst excreted in cat feces.
Contaminated soil ingested by birds, mammals, and
Interpretation: IgG(-)
IgM(-) no infection not immune
IgG(+)
IgM(-) infection previous to prenancy
IgG(-)
IgM(+) recent infection. Fetus at risk
Prevention:
•There is no vaccine for toxoplasma but following measure reduces
congenital infection
• Cook meat to safe temperatures
• Peel or thoroughly wash fruits and vegetables
• Clean cooking surface and utensils that contain raw materials
• Avoid feeding cat's raw or undercooked meat and keep cats indoors
Rubella-:
(German measles) (Rubella is a Grk word that means little red).
This virus typically causes infection of minor import in the
absence of pregnancy.
During pregnancy, however, it has been directly responsible for
abortion and severe congenital malformation.
Maternal manifestations:
Rubella cause fever, malaise, lymphadenopathy, facial rash, postaurical
adenopathy, flu-like symptom, arthralgia and arthritis are characteristic of the
condition.
Complication:
Hypoglycemia
Dehydration
Acidosis
Anaemia
Renal failure
Acute pulmonary oedema
Coagulopathy
Convulsion
Circulatory collapse
Fluid & electrolyte imbalance
Jaundice
& Death.
IV drug abusers
2.Antepartum care
a. evaluation for other STD
b. serial USG to follow fetal growth
c. weekly nonstrees test after 32 wks
d. measurement of CD4 cells every trimester
1 early onset
Symptoms develop within few hrs (80 % within 6 hrs of delivery) to
first weeks of life, such as
Respiratory distress
Lethargy
Hypotension
Sepsis
4 % neonatal mortality of term infants and 25 %mortality in preterm
infants.
2 late onset
symptoms occurs between first weeks to third Week such as
Diagnosis based on
Stop penicillin