Gebelikte Coronavirüs Enfeksiyonu (COVID-19) ve Yönetimi

Year 2020, Volume: 10 Issue: 2, 348 - 358, 15.06.2020

Koray Gök Osman Köse Selçuk Özden

https://doi.org/10.31832/smj.723129

Cited By: 1

Abstract

2019’un sonunda Çin’in Hubei eyaleti Wuhan şehrinde ortaya çıkan ve yayılan SARS-CoV-2 virüsü sonucu meydana gelen COVID-19 pandemisi halen ciddi bir halk sağlığı problemi olarak etkisini sürdürmektedir. Hızlı yayılması, tedavisinin olmaması ve ölümcül seyretmesi virüsün yarattığı etkiyi önemli kılmaktadır. Pnömoninin maternal morbidite ve mortalitenin önemli bir nedeni olduğu düşünüldüğünde, COVID-19'un ortaya çıkışı ve küresel yayılması, bu salgının gebe kadınlar ve fetüsleri üzerindeki etkileri hakkında endişeleri artırmıştır. Gebelerde enfeksiyon ile ilgili olarak kısıtlı sayıda bilgi mevcuttur ve şimdilik yönetimin gebe olmayanlar gibi yapılması önerilmektedir. Halen geç gebelikte COVID-19 pnömonisi gelişen kadınlarda vertikal geçişin neden olduğu intrauterin enfeksiyona dair kanıt yoktur. Gebelikte COVID-19 'un yönetim prensipleri erken izolasyon, agresif enfeksiyon kontrol prosedürleri, oksijen tedavisi, aşırı sıvı yüklenmesinin önlenmesi, ampirik antibiyotiklerin (sekonder bakteriyel enfeksiyon riski) değerlendirilmesi, virüs ve koenfeksiyon için laboratuvar testi, fetal ve uterin monitorizasyon, ilerleyici solunum yetmezliği için erken mekanik ventilasyon, bireyselleşmiş doğum planlamasını içerir. COVID-19 enfekte gebe hastanın yönetimi multidisipliner bir takım tarafından düzenlenmelidir.
Abstract
The COVID-19 pandemic, which occurred as a result of the SARS-CoV-2 virus that spread in the city of Wuhan, Hubei province in late 2019, still continues to be a serious public health problem. Its rapid spread, lack of treatment and lethal course make the effect of the virus important. Given that pneumonia is an important cause of maternal morbidity and mortality, the emergence and global spread of COVID-19 has raised concerns about the implications of this outbreak for pregnant women and their fetuses. There is currently no evidence for intrauterine infection caused by vertical transmission in women who develop COVID-19 pneumonia in late pregnancy. Principles of management of COVID-19 in pregnancy include early isolation, aggressive infection control procedures, oxygen therapy, avoidance of fluid overload, consideration of empiric antibiotics (secondary to bacterial infection risk), laboratory testing for the virus and coinfection, fetal and uterine monitoring, early mechanical ventilation for progressive respiratory failure, individualized delivery planning, and a team-based approach with multispecialty consultations. Management of COVID-19-infected pregnant women should be undertaken by a multidisciplinary team.

Keywords

gebelik, covid-19, fetal, enfeksiyon

Supporting Institution

yok

Project Number

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References

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