[李斯特菌感染与妊娠]。

Q4 Medicine

Ugeskrift for laeger Pub Date : 2025-10-06 DOI:10.61409/V02250139

Lilian Bostlund Olsen, Pernille Langkjær Gormsen, Britta Dolleris, Anne-Louise Lykke Nielsesen, Hanne Katrine Rosbach, Kurt Fuursted, Lise Lotte Torvin Andersen

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引用次数: 0

摘要

单核细胞增生乳杆菌引起李斯特菌病，导致菌血症、脑膜炎和胎母疾病。这篇综述的重点是胎母感染，提出了一个算法的调查，治疗和随访。治疗包括至少三周的静脉注射氨基青霉素，前三天联合氨基糖苷类药物。建议对所有患者进行血培养，对免疫功能低下的母亲和所有婴儿进行腰椎穿刺。合适的分娩时间可以讨论，但建议在GA 37+0后诱导/分娩，最好在及时抗生素治疗后。

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[Listeria infection and pregnancy].

L. monocytogenes causes listeriosis, leading to bacteremia, meningitis, and foeto-maternal disease. This review focuses on foeto-maternal infections, presenting an algorithm for investigation, treatment, and follow-up. Treatment involves at least three weeks of IV aminopenicillin, combined with an aminoglycoside for the first three days. Blood cultures are recommended for all patients, and a lumbar puncture for immunocompromised mothers and all infants. The right time for delivery can be discussed, but induction/delivery after GA 37+0 is proposed, preferably after timely antibiotic treatment.

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来源期刊

Ugeskrift for laeger Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

345

期刊介绍： The Ulster Medical Journal is an international general medical journal with contributions on all areas of medical and surgical specialties relevant to a general medical readership. It retains a focus on material relevant to the health of the Northern Ireland population. The Honorary Editor would welcome offers of papers for publication. Prospective authors are invited to read the notice to contributors.