抗生素课件课件(英文精品) Modern Management of Prolonged Rupture of Membranes.pptVIP

Antibiotics PPROM: Summary No clear reduction in perinatal death No clear reduction in cerebral abnormalities Kenyon, Cochrane Library, 1999 Amniocentesis PPROMAmniotic Fluid Culture Group B Streptococcus 20 % Gardnerella vaginalis 17 % Peptostreptococcus 11 % Fusobacteria 10 % Bacteroides fragilis 9 % Other Streptococci 9 % Bacteroides sp. 5 % Utility of Amniocentesis Confirm/Refute diagnosis of chorioamnionitis Glucose 15 mg/dL Culture Gram stain Lung maturity testing Corticosteroids Corticosteroids for FLM Betamethasone Dexamethasone PPROMCorticosteroids Block