By Michael W. Adler, Frances Cowan, Patrick French, Helen Mitchell, John Richens
(BMJ Books) Univ. health facility, Nottingham, united kingdom. presents a concise consultant to issues of the higher gastrointestinal tract. hugely illustrated with charts, diagrams, and colour photos. displays most recent advances in realizing the pathophysiology and pathogenesis of this disorder. For clinical scholars, nurses, and clinicians. Softcover.
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Extra info for ABC of Sexually Transmitted Infections
Neonatal herpes simplex infection can be localised or disseminated affecting multiple organs, including hepatitis and encephalitis. If neonatal HSV is suspected immediate intensive treatment with intravenous antiviral therapy should be started. Disseminated infection has a high mortality rate (70%) even with effective antiviral therapy. Surviving neonates are at a high risk of neurological sequelae. HIV Mother By the end of 2002 an estimated 42 million adults and children worldwide are living with HIV and 50% of infected adults are women.
Ophthalmia neonatorum Advice for pregnant women with known recurrent genital herpes ● ● ● ● ● Women with recurrent genital herpes can deliver vaginally if they do not have overt genital ulcers at the time of delivery Repeated viral cultures during pregnancy are of no clinical value in predicting recurrences or viral shedding at the time of delivery Women with a recurrence at the time of delivery are currently delivered by lower segment caesarean section to prevent intrapartum viral transmission If recurrent lesions are present at the time of delivery there is a low risk of neonatal herpes even with vaginal delivery.
Laparoscopic view of ectopic pregnancy Prevention of pelvic infection Management of the complications and reproductive sequelae of Chlamydia infection in women costs national health programmes millions each year. The introduction of screening programmes for genital C trachomatis infection has reduced substantially the incidence of acute PID and ectopic pregnancy. Screening programmes are cost effective when the local prevalence rate is 6% and a nucleic acid amplification diagnostic test assay is used.