Neumonía adquirida en la comunidad durante el embarazo: evaluación clínica del tratamiento y la profilaxis

• Autores: Enrique López Torres, Pedro Antonio Doblas Gómez, Raquel Cueto Galán
• Localización: Clínica e investigación en ginecología y obstetricia, ISSN 0210-573X, Vol. 34, Nº. 4, 2007, págs. 142-146
• Idioma: español
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• Resumen

  • Objective: Pneumonia during pregnancy has benn associated with increased morbidity and mortality compared with that occurring in nonpregnant women. The present article reviews the current literature describing community-acquired pneumonia in pregnancy.

    Results: Coexisting maternal disease, including asthma and anemia, increase the risk of contracting community-acquired pneumonia in pregnancy. The neonatal effects of pneumonia in pregnancy include low birth weight and a increased risk of preterm birth. Beta-lactam and macrolide antibiotics are considered safe and effective in pregnancy. Influenza vaccination can reduce the prevalence of hospitalization for respiratory illness among pregnant women during the influenza season.

    Conclusion: Prompt diagnosis and appropiate empirical antimicrobial therapy reduces maternal morbidity and mortality due to community-acquired pneumonia in pregnancy. Prevention with vaccination in at-risk populations may reduce the prevalence and severity of pneumonia in pregnant women.