Author/Editor		Mueller-Premru, Manica
Title		Laboratorijske tehnike za dokaz bakterijskih okužb v perinatologiji
Type		članek
Source		In: Novak-Antolič Ž, editor. Bakterijske okužbe v perinatologiji. 12. Novakovi dnevi z mednarodno udeležbo; 2004 maj 14-15; Laško. Ljubljana: Slovensko zdravniško društvo, Združenje za perinatalno medicino,
Publication year		2004
Volume		str. 22-8
Language		slo
Abstract		Bacterial infections are more common in the perinatal period than later because of extreme susceptibility of the mother and her newborn. Infections can be caused by bacteria crossing the placenta, by bacteria from the vagina before or during labor, by sexually transmitted bacteria and by hospital bacteria. Collection of specimens for microbiological investigation in the neonate is difficult. If the volume is too small, the result can be false negative, and if the specimen is contaminated by normal flora, it can be false positive. Diagnosis of generalized infections is performed by blood culture, CSF, urine, amniotic fluid, membranes, placenta and endometrium culture. S. agalactiae infections can be prevented by vaginal screening in late pregnancy and intrapartum prophylaxis. Diagnosis of syphilis, borreliosis and brucellosis is made by serology. Sexually transmitted bacteria can be diagnosed in cervical and urethral swabs of the mother and in conjunctival and nasopharyngeal swabs and tracheal aspirates of her newborn. Bacterial infections can be successfully prevented, but when they occur they should be quickly diagnosed and treated.
Descriptors		PERINATOLOGY BACTERIAL INFECTIONS SPECIMEN HANDLING