RESUMEN
Listeriosis and toxoplasmosis are foodborne illnesses that can have long-term consequences when contracted during pregnancy. Listeriosis is implicated in stillbirth, preterm labor, newborn sepsis, and meningitis, among other complications. Toxoplasmosis is associated with blindness, cognitive delays, seizures, and hearing loss, among other significant disabilities. Healthcare providers who understand the fundamentals of Listeria and Toxoplasma infection will have the tools to identify symptoms and high-risk behaviors, educate women to make safer decisions, and provide anticipatory guidance if a pregnant woman would become infected with either of these foodborne illnesses.
Asunto(s)
Listeriosis , Complicaciones Infecciosas del Embarazo , Toxoplasmosis , Femenino , Enfermedades Transmitidas por los Alimentos/diagnóstico , Enfermedades Transmitidas por los Alimentos/enfermería , Enfermedades Transmitidas por los Alimentos/prevención & control , Enfermedades Transmitidas por los Alimentos/psicología , Personal de Salud , Humanos , Listeriosis/complicaciones , Listeriosis/diagnóstico , Listeriosis/enfermería , Listeriosis/terapia , Embarazo , Complicaciones Infecciosas del Embarazo/diagnóstico , Complicaciones Infecciosas del Embarazo/enfermería , Complicaciones Infecciosas del Embarazo/prevención & control , Complicaciones Infecciosas del Embarazo/psicología , Rol Profesional , Factores de Riesgo , Conducta de Reducción del Riesgo , Toxoplasmosis/complicaciones , Toxoplasmosis/diagnóstico , Toxoplasmosis/enfermería , Toxoplasmosis/terapiaAsunto(s)
Conocimientos, Actitudes y Práctica en Salud , Listeriosis/prevención & control , Partería/métodos , Complicaciones Infecciosas del Embarazo/prevención & control , Atención Prenatal/métodos , Femenino , Manipulación de Alimentos/métodos , Humanos , Listeriosis/enfermería , Embarazo , Complicaciones Infecciosas del Embarazo/enfermería , Factores de Riesgo , Salud de la MujerAsunto(s)
Conocimientos, Actitudes y Práctica en Salud , Listeriosis/prevención & control , Enfermería Maternoinfantil/organización & administración , Rol de la Enfermera , Complicaciones Infecciosas del Embarazo/prevención & control , Adulto , Centers for Disease Control and Prevention, U.S. , Seguridad de Productos para el Consumidor , Femenino , Microbiología de Alimentos , Humanos , Recién Nacido , Listeriosis/enfermería , Educación del Paciente como Asunto/métodos , Embarazo , Complicaciones Infecciosas del Embarazo/enfermería , Estados UnidosRESUMEN
Occurrence of Listeria endocarditis is rare, and the mortality rate is high, 100% in untreated cases. The use of antibiotics, specifically ampicillin, is considered a first-line treatment. Coadministration of ampicillin and gentamicin provides a synergistic effect in killing the bacteria. Antibiotics are among the most common causes of hypersensitivity reactions. Of all antibiotics, penicillin is the one that most often causes a reaction. Skin testing adds time until treatment, and all patients with sensitivity to penicillin may not be detected. In the case presented, the patient had antibiotic desensitization with ampicillin. He did not have any allergic reactions to the drug. However, his history of allergy to penicillin was uncertain, so perhaps he did not have a true, serious penicillin allergy. Also, most likely he was anergic and could not mount an immune response to ampicillin, even if truly allergic. Therefore, his response may not be a typical response to antibiotic desensitization. Understanding possible hypersensitivity reactions can help guide the medical and nursing management of patients having antibiotic desensitization.