An important is the identification of women with gonokokkovuyu infection, conventional crops and their subsequent treatment. Gonokokkovye infection in pregnant women, including those who are asymptomatic, can cause early or late break shells, premature birth and low weight at birth. These infections can also be completed sepsis or a scalp abscess if the intrauterine fetal survey. Failure to treat infected women before or during birth may be completed after the transfer gonokokkovoy newborn infections.
Newborn children whose mothers were suffering from gonorrhea during childbirth should receive 1 dose tseftriaksona (125 mg, for children with low weight at birth – 25-50 mg / kg) intravenously or intramuscularly. Rare cases of gonokokkovoy ophthalmia can meet with infants who received the prevention of any modern methods.
Babies with clinical manifestations gonokokkovoy ophthalmia or complications (disseminirovannoy) gonokokkovoy infections must be hospitalized, placed in a detention facility and to treat. There is a need definition Strains penitsillinorezistentnyh N. gonorrhoeae seeding samples taken from the mother, and the definition of sensitivity to antibiotics for the appointment of appropriate antimicrobial therapy.
The treatment of pregnant women with hlamidialnye tservitsity also prevents infection hlamidialnuyu newborn. Oral erythromycin is the only recommended tool for these women. Tetracycline is contraindicated. Women with babies who developed hlamidialny conjunctivitis, should be examined and treat, if the response will be positive. Their sexual partners should also receive treatment to prevent reinfektsii.
Chlamydia – positive women could be identified in the survey using fluorescent antibodies, crops and identifying Chlamydia-antigens using ELISA. The testing is justified in areas of high prevalence and women who have found other sexually transmitted diseases.
Treatment hlamidialnyh conjunctivitis. We recommend that oral use of erythromycin. Local therapy successful in treating conjunctivitis, but does not exclude the reproduction of microorganism in the nose and does not prevent the subsequent development of pneumonia.