Of intrauterine infection in neonates with pneumonia

Intrauterine infection of pneumonia as the name suggests, is in the intrauterine infection, often associated with some of the mothers or obstetric factors, therefore, to fully with this in mind when the diagnosis.

Fetal infection causes pneumonia pathogens through what means? First, mothers infected with some virus or bacteria during pregnancy, through blood circulation into the placenta, through the placenta into the fetal blood. Due to Hematogenous dissemination, in addition to causing pneumonia, often caused by infection of the brain, liver, spleen and other organs. Second: before birth, the mother, in case of premature rupture, or rupture of membranes before the onset, inside the vagina may up bacterial infection of membranes and amniotic fluid, fetal breathing infected amniotic fluid, pneumonia can occur. Premature rupture of membranes for more than 24 hours you can be up to 50% per cent in the incidence of pneumonia.

Neonates with intrauterine infection of pneumonia symptoms after they are born, manifested: difficulty in breathing, moaning, weeks and blue in the face, often do not cough, not necessarily heat. If menstruation line communications, in addition to pneumonia, systemic multiple organs damage can also occur, such as convulsions, coma, liver and spleen swelling, rash, jaundice, liver damage, etc. Severe complicated with respiratory failure, heart failure, shock and other complications.

To assist in troubleshooting, first detailed questioning history, notably asked the mother\'s pregnancy and childbirth. There is no history of acute and chronic infection such as fever, and premature rupture of membranes of free time. Also for further checks, such as a chest x ray, shadow visible lung spot or point mesh fuzzy shadow, sometimes with emphysema performance, like the infant bronchial. In addition, smear and culture also can be used for respiratory secretions, blood culture, serum virus or bacterial antigens, antibodies to identify the pathogen. Examination sample of necessary through the mother\'s birth canal or pathogen detection in serum.

Treatment of this disease is mainly resistance to infection. Should be based on the pathogen of drug sensitive test and selection of appropriate antibiotics. At the same time, strict observation of condition changes and correct hypoxia, maintain airway patency, ensuring adequate supply of nutrients. For severe pneumonia with respiratory failure, heart failure should actively rescuing, if necessary, treated with mechanical ventilation.