The significance of E. coli treatment in perinatal period

Authors:
  • ALAleksandar Ljubic
    Aleksandar Ljubic
  • LNLjubinka Nikolic
    Ljubinka Nikolic
  • SSSlobodanka Stefanovic
    Slobodanka Stefanovic
  • ZPZoran Popovic
    Zoran Popovic
  • BNBojanić Nebojša N.
    Bojanić Nebojša N.
  • PAPetar Anojcic
    Petar Anojcic
  • SMSrdjan Markovic
    Srdjan Markovic
  • MMMilos Mijajlovic
    Milos Mijajlovic

Abstract
Introduction: Bacteriuria of pregnancy is a common condition. Case report: Patient, 30-years, pregnant woman. During pregnancy, E. coli infection recurred in 4 times, applied Cephalexin and Ceftriaxone. The delivery was terminated by CS, GW 38; girl infant, AS 9. After the period of lactation: secretory status - the patient was a secretor of A and H blood type substance; ultrasonography and contrast radiography - presence of the third kidney. The therapy was added by vaccine UroVaxom, and there was no E. coli infection during 2 years follow up period. The Child is now 7 years old girl, having brilliant psychomotorical development. Possible child brain damage, lung damage, mental diseases are the reason for necessity E. coli infection treatment during pregnancy. Conclusion: All pregnant women should be screened for bacteriuria. E. coli is most commonly sensitive to group B antibiotics (cephalexin and amoxicillin), safe to be included in pregnancy. Long-term follow up of infants born from mothers having bacterial infection during pregnancy is necessary.

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