Amniotic Infection Syndrome

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Classification according to ICD-10
O41.1 Infection of the amniotic sac and membranes
ICD-10 online (WHO version 2019)

The amniotic infection (ger .: amniotic infection syndrome , abbreviated AIS) describes an infection of Eihöhle, placenta , fetal membranes and possibly the fetus during pregnancy or birth with the risk of sepsis for the child. It represents a clinical emergency.

Pathogen

Possible pathogens of the infection can be beta-hemolytic streptococci , Escherichia coli , Staphylococcus aureus , Staphylococcus epidermidis , Listeria monocytogenes , Klebsiella , Pseudomonas aeruginosa , mycoplasmas , chlamydia or gonococci .

criteria

The amniotic infection syndrome is manifested by fever above 38 ° C, increased inflammation parameters without any other explanatory cause ( CRP > 2.0 mg / dl or leukocytosis > 16000 / mm³) and fetal or maternal tachycardia . In addition, there is a pain in the edge of the uterus and foul-smelling discharges, fetal-smelling amniotic fluid .

therapy

Immediate induction of labor, continuous cardiotocography monitoring, short-term temperature controls and intravenous antibiotic therapy are available as therapy. The antibiotic therapy can be carried out with mezlocillin or clindamycin , with penicillin allergy with cefuroxime or clindamycin. It must be continued beyond birth until the inflammation parameters are no longer relevant.

literature

  • Koletzko : Pediatrics . Springer, Heidelberg 2004, ISBN 3-540-44365-7
  • Pschyrembel: Pschyrembel - Clinical Dictionary . de Gruyter, Berlin 2002, ISBN 3-11-017213-5
  • Guideline Premature rupture of the bladder on or around the due date of the University Clinic for Gynecology Vienna

Web links