2007, Number 3
Perinatol Reprod Hum 2007; 21 (3)
Neumonía durante el embarazo
Ramírez-Crescencio MA, Soto-Hernández JL
Full text
Language: Spanish
References: 6
Page: 155-162
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ABSTRACT
Introduction: Community acquired pneumonia (CAP) describes pneumonia cases acquired at the habitual residence place, whereas a nosocomial pneumonia or an hospital acquired pneumonia (HAP) appears in patients with more than 48 hours of hospitalization and it was not at incubation at the time of hospitalization.In pregnant women, pneumonia is the most frequent cause of nonobstetrical serious infection. The clinical manifestation includes atypical signs and symptoms and the treatment is more difficult that in nonpregnant women.
Diagnosis: It is based on the presence of clinical manifestation as disnea, fever and cought and a radiological image of pneumonia in the thorax X-ray, but the incorrect diagnosis of pneumonia in pregnant women is frequent.
Etiology: In community-acquired pneumonia the etiological agents are: Streptococcus pneumoniae (17%), Haemophilus influenzae (5.5%), Mycoplasma pneumoniae (3%), Legionella sp (3%), Staphylococcus aureus (1.2%), Influenza A virus (1.2%) and another viruses (9%), but in almost 60% it has not been able to identify the etiology.
Treatment: It is necessary to consider the risk of the infection and the mother and fetus’ adverse effects to the use of drugs for treatment of pneumonia in pregnant women, but there are antimicrobial, antiviral and antifungical that can be used.
The treatment for pneumonia in nonpregnant can be used in pregnant women with modifications in the prescriptions.
REFERENCES