Bacterial pneumonia infection in pregnancy

Bacterial pneumonia in pregnancy is the most common fatal non-obstetrical infection and is associated with poorer maternal and fetal outcomes. Risk factors include normal physiological and anatomic changes that occur during pregnancy. In this review, we will discuss the etiological pathogens of bact...

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Veröffentlicht in:Best practice & research. Clinical obstetrics & gynaecology 2022-12, Vol.85 (Pt A), p.26-33
Hauptverfasser: Ashby, Tracy, Staiano, Peter, Najjar, Nimeh, Louis, Mariam
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Sprache:eng
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Zusammenfassung:Bacterial pneumonia in pregnancy is the most common fatal non-obstetrical infection and is associated with poorer maternal and fetal outcomes. Risk factors include normal physiological and anatomic changes that occur during pregnancy. In this review, we will discuss the etiological pathogens of bacterial pneumonias in pregnancy and its common complications, including both maternal and fetal outcomes. We will also review the diagnosis and management of bacterial pneumonia in the outpatient and inpatient setting and highlight the major pregnancy and lactation considerations when choosing antibiotic therapies. •Pregnant women are at risk of aspiration pneumonia due to physiological changes.•Bacterial pneumonia is associated with worsened maternal and fetal outcomes.•The diagnosis of pneumonia in pregnancy can be challenging.•Management of ICU pregnant patients should allow for normal physiological changes.•Understanding the teratogenic effects of antimicrobial therapy is crucial.
ISSN:1521-6934
1532-1932
DOI:10.1016/j.bpobgyn.2022.07.001