Showing posts with label The respiratory system. Show all posts
Showing posts with label The respiratory system. Show all posts

3/9/11

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.

After neonatal health infectious pneumonia

Neonatal infectious pneumonia after accounting for most of neonatal infectious pneumonia are common and frequently occurring illnesses of the neonatal period, can be caused by a variety of pathogenic micro-organisms, mainly for bacterial infections, including staphylococci, Escherichia coli, pneumococci. In recent years some of the less common bacterial infection is on the rise in the past, such as: klebsialla pneumonia, Pseudomonas bacteria. In addition, some anaerobic bacteria, fungi, viruses, Chlamydia trachomatis can also cause neonatal infectious pneumonia after birth.


Postnatal transmission of infectious pneumonia in neonates are the following:


A, close contact: this is the most common routes of transmission, fewer opportunities due to contact with outsiders, family members with respiratory tract infections or respiratory bacteria has become a major source of infection. Because of poor neonatal respiratory system defense feature, contact common upper respiratory tract infection, can lead to pneumonia in neonates.


Second, bloodstream infections: neonatal umbilical infection, skin infection, pathogens can be spread through blood circulation to lungs and cause pneumonia.


Three, iatrogenic infection: the reason for the hospitalization of newborns in the hospital may not strictly due to disinfection of medical instruments or ward, as well as other children suffering from infectious diseases isolation hospital cross infection caused by such factors as not enough. In particular, long-term hospitalization of premature infants and children with severe and multiple antibiotics, ventilators, and arterial and venous catheter inserted more occurrence of iatrogenic infection in children.


Neonatal infectious pneumonia occurs after birth, after 3 days of health, and infant pneumonia is different, fever, cough, expectoration these common symptoms of pneumonia in newborns is rare, especially in premature infants and newborns within 2 weeks of birth, mainly for bad spirits, hyperpnea, milk or eat milk choked. Cough symptoms newborns can be close to full moon. Serious condition, refused milk can appear, weeks, or blue in the face, mouth saliva, breathing difficulties, such as complicated with respiratory failure and heart failure, is a critical condition, needed emergency treatment. Except when the need for visible signs of Dyspnea and hypoxia, a pulmonary Rale infant pneumonia often than obvious, some children can be heard in wet-Lo tone, if at the time of pulmonary auscultation heard widely-intensive fine wet Lo tone, you are prompted to merge with congestive heart failure, pulmonary edema.


Treatment of neonatal infectious pneumonia after birth should be particularly stressed two points: first, to actively control infections, according to different pathogens selecting appropriate antibiotics or antiviral drugs and intravenous administration better. Secondly, strengthen the management of respiratory tract and, if necessary, give oxygen, respiratory secretions or sticky spray inhalation should be given and take back suction to maintain airway patency, also in children should always transform position, to facilitate the expansion of the lungs and drainage of secretions. With serious complications, should be carried out into the intensive care unit monitoring rescue.


Neonatal infectious pneumonia can be prevented after birth. Contact relatives of the newborn should observe personal hygiene, have less ill should contact neonates. Parents who suffer from respiratory tract infection, in care children should pay attention to hand washing and wearing masks. Should also be declined as much as possible to visit. Find child when there are circumstances such as umbilical inflammation or infection of the skin, should be actively treated. Hospital\'s neonatal Ward should strictly enforce the disinfection and isolation system, different disease should be admitted, minimize the duration of hospitalization in children, rational use of antibiotics.

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.

After neonatal health infectious pneumonia

Neonatal infectious pneumonia after accounting for most of neonatal infectious pneumonia are common and frequently occurring illnesses of the neonatal period, can be caused by a variety of pathogenic micro-organisms, mainly for bacterial infections, including staphylococci, Escherichia coli, pneumococci. In recent years some of the less common bacterial infection is on the rise in the past, such as: klebsialla pneumonia, Pseudomonas bacteria. In addition, some anaerobic bacteria, fungi, viruses, Chlamydia trachomatis can also cause neonatal infectious pneumonia after birth.


Postnatal transmission of infectious pneumonia in neonates are the following:


A, close contact: this is the most common routes of transmission, fewer opportunities due to contact with outsiders, family members with respiratory tract infections or respiratory bacteria has become a major source of infection. Because of poor neonatal respiratory system defense feature, contact common upper respiratory tract infection, can lead to pneumonia in neonates.


Second, bloodstream infections: neonatal umbilical infection, skin infection, pathogens can be spread through blood circulation to lungs and cause pneumonia.


Three, iatrogenic infection: the reason for the hospitalization of newborns in the hospital may not strictly due to disinfection of medical instruments or ward, as well as other children suffering from infectious diseases isolation hospital cross infection caused by such factors as not enough. In particular, long-term hospitalization of premature infants and children with severe and multiple antibiotics, ventilators, and arterial and venous catheter inserted more occurrence of iatrogenic infection in children.


Neonatal infectious pneumonia occurs after birth, after 3 days of health, and infant pneumonia is different, fever, cough, expectoration these common symptoms of pneumonia in newborns is rare, especially in premature infants and newborns within 2 weeks of birth, mainly for bad spirits, hyperpnea, milk or eat milk choked. Cough symptoms newborns can be close to full moon. Serious condition, refused milk can appear, weeks, or blue in the face, mouth saliva, breathing difficulties, such as complicated with respiratory failure and heart failure, is a critical condition, needed emergency treatment. Except when the need for visible signs of Dyspnea and hypoxia, a pulmonary Rale infant pneumonia often than obvious, some children can be heard in wet-Lo tone, if at the time of pulmonary auscultation heard widely-intensive fine wet Lo tone, you are prompted to merge with congestive heart failure, pulmonary edema.


Treatment of neonatal infectious pneumonia after birth should be particularly stressed two points: first, to actively control infections, according to different pathogens selecting appropriate antibiotics or antiviral drugs and intravenous administration better. Secondly, strengthen the management of respiratory tract and, if necessary, give oxygen, respiratory secretions or sticky spray inhalation should be given and take back suction to maintain airway patency, also in children should always transform position, to facilitate the expansion of the lungs and drainage of secretions. With serious complications, should be carried out into the intensive care unit monitoring rescue.


Neonatal infectious pneumonia can be prevented after birth. Contact relatives of the newborn should observe personal hygiene, have less ill should contact neonates. Parents who suffer from respiratory tract infection, in care children should pay attention to hand washing and wearing masks. Should also be declined as much as possible to visit. Find child when there are circumstances such as umbilical inflammation or infection of the skin, should be actively treated. Hospital\'s neonatal Ward should strictly enforce the disinfection and isolation system, different disease should be admitted, minimize the duration of hospitalization in children, rational use of antibiotics.