Infectious Disease Screening in Pregnancy : Part 2

  • Episode Written by : Patricia Massel Rural Family Medicine PGY2
  • Episode Reviewed by : Dr. Maggie Watt (GP) & Dr. Milena Semproni (ID)
  • Hosts : Kyla Freeman, Patricia Massel, & Caitlin Blewett
  • Episode Art : Aikansha Chawla

In episode one we covered urine cultures, rubella, varicella, chlamydia, and gonorrhoea. Today we tackle HIV, Hepatitis B, and Syphilis – how to screen, how to proceed with a positive screen, and the implications for newborn care. We wrap up our infectious disease discussions with a review of what to order and how to manage the patient who presents in labour without any infectious disease screening whatsoever.

Resources

References
  • Allen et al., 2012 (reaffirmed 2018) SOGC Clinical Practice Guideline No. 276 Management of Group B Streptococcal Bacteriuria in Pregnancy. J Obstet Gynaecol Can 2018 40(2) e181-e186
  • Castillo et al., 2017 SOGC Clinical Practice Guideline No. 342-Hepatitis B and Pregnancy. J Obstet Gynaecol Can 2017 39(3):181-190
  • Dynamed. Chlamydia Genital Infection. EBSCO Information Services. Accessed May 26, 2021. https://www.dynamed.com/condition/chamlydia-gential-infection
  • DynaMed. Gonococcal Cervicitis. EBSCO Information Services. Accessed May 26, 2021. https://www.dynamed.com/condition/gonococcal-cervicitis
  • DynaMed. HIV in Pregnancy. EBSCO Information Services. Accessed June 9, 2021. https://www.dynamed.com/condition/hiv-in-pregnancy
  • Keenan-Lindsay et al., 2006 (reaffirmed 2015) SOGC Clinical Practice Guideline No. 185 – HIV Screening in Pregnancy. J Obstet Gynaecol Can 2017 39(7) e54-e58
  • Money and Allen. 2013 SOGC Clinical Practice Guideline: The Prevention of Early-Onset Neonatal Group B Streptococcal Disease. J obstet gynaecol Can 35(10) 939-948
  • Moore et al., 2015 (reaffirmed 2021) Position Statement: Preventing ophthalmia neonatorum. Canadian Pediatric Society
  • No.368 – Rubella in Pregnancy – J Obstet Gynaecol Can 2018;40(12):1646−1656 https://doi.org/10.1016/j.jogc.2018.07.003
  • Robinson, JL. 2018. Congenital syphilis: no longer just of historical interest. Canadian Pediatrics Society
  • UpToDate. Treatment of Chlamydia trachomatis infection. Accessed May 26, 2021.
  • UptoDate.Treatment of uncomplicated Neisseria gonorrhoeae infections. Accessed May 26. 2021 https://www.uptodate.com/contents/treatment-of-uncomplicated-neisseria-gonorrhoeae-infections

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