Gebe kadınlarda parapnömonik efüzyonun yönetimi
Pnömoni ve parapnömonik efüzyon (PPE)'un görülme sıklığı gebe kadınlarda normal popülasyona kıyasla daha fazla değildir. Pnömoni gebe kadınlarda en sık ikinci infeksiyon olarak kabul edilir. PPE pnömoninin önemli bir komplikasyonudur ve özellikle tedavinin geciktiği veya antibiyotiğin uygun seçilmediği olgularda görülür. Gebe kadınlarda PPE yönetimi konusundaki veriler bir kaç olgu sunumu ile kısıtlıdır.
Management of parapneumonic effusion in pregnant women
Pneumonia and parapneumonic effusion (PPE) are not more common in pregnant women compared to normal population.Pneumonia is considered the second most common infection in pregnant women. PPE is a serious complication of pneumonia andoccurs especially in case of treatment delay or inappropriate antibiotic selection. The data on the management of PPE in pregnantwomen is limited to few case reports.
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- Froes F, Pereira JG, Póvoa P. Outpatient management of
community-acquired pneumonia. Curr Opin Infect Dis.
2018.
- Colice GL, Curtis A, Deslauriers J, Heffner J, Light R,
Littenberg B, et al. Medical and surgical treatment of
parapneumonic effusions: an evidence-based guideline.
Chest 2000;118:1158-71.
- Madinger NE, Greenspoon JS, Ellrodt AG. Pneumonia
during pregnancy: has modern technology improved
maternal and fetal outcome? Am J Obstet Gynecol 1989;
161:657-62.
- Munn MB, Groome LJ, Atterbury JL, Baker SL, Hoff C.
Pneumonia as a complication of pregnancy. J Matern Fetal
Med 1999; 8:151-4.
- Heffner, JE, McDonald, J, Barbieri, C, Klein J. Management
of parapneumonic effusion. Arch Surg 1995;130:433-8.
- Strange, C Sahn, SA. The clinician’s perspective on
parapneumonic effusion and empyema.
Chest.1993;103:259-261.
- Light RW. Parapneumonic effusions and empyema. Proc
Am Thorac Soc 2006;3:75-80.
- Goodnight WH, Soper DE. Pneumonia in pregnancy. Crit
Care Med. 2005 ;33(10 Suppl):S390-7
- Teixeira LR, Sasse SA, Villarino MA, Nguyen T, Mulligan
ME, Light RW. Antibiotic levels in empyemic pleural fluid.
Chest 2000;117(6):1734-9.
- Liapakis IE, Light RW, Pitiakoudis MS, Karayiannakis AJ,
Giamarellos-Bourboulis EJ, Ismailos G, et al. Penetration of
clarithromycin in experimental pleural empyema model
fluid. Respiration 2005;72:296-300.
- FDA/CDER SBIA Chronicles. Drugs in Pregnancy and
Lactation: Improved Benefit-Risk Information. January 22,
2015. Accessed July 25, 2016 at http://www.fda.gov/
downloads/Drugs/DevelopmentApprovalProcess/
SmallBusinessAssistance/UCM431132.pdf
- Tuncozgur B, Ustunsoy H, Sivrikoz MC, Dikensoy O,
Topal M, Sanli M, et al. Intrapleural urokinase in the
management of parapneumonic empyema: a randomised
controlled trial. Int J Clin Pract. 2001;55:658-60.
- Ulutas H, Yekeler E, Ali Sak ZH, Doru I, Kuzucu A.
Fibrinolytic therapy for parapneumonic empyema during
pregnancy. Respiratory Medicine Case Reports.
2012;5:55-8.
- Torbic H, Inaty H, Raja S, Choi H. Safe administration of
intrapleural alteplase during pregnancy. J Thorac Dis
2017;9:E801-E804.
- Sousa Gomes M, Guimarães M, Montenegro N.
Thrombolysis in pregnancy: a literature review. J Matern
Fetal Neonatal Med 2018;29:1-331.
- Schuetz P, Albrich W, Mueller B. Procalcitonin for diagnosis
of infection and guide to antibiotic decisions: past, present
and future. BMC Medicine 2011;9:107.
- Dandona P, Nix D, Wilson MF, et al. Procalcitonin increase
after endotoxin injection in normal subjects. J Clin
Endocrinol Metab 1994;79:1605-8
- Oshodi T, Carlan SJ, Busowski M, Sand ME.Video assisted
thoracic surgery in a second trimester pregnant woman
with thoracic empyema: a case report. J Reprod Med
2015;60:172-4.
- Kim JW, Kim JS, Cho JY, Lee DH. Successful video-assisted
thoracoscopic lobectomy in a pregnant woman with lung
cancer. Lung Cancer 2014;85:331-4.