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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/12224
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dc.contributor.authorLisî, Maria-
dc.date.accessioned2020-10-19T07:50:07Z-
dc.date.available2020-10-19T07:50:07Z-
dc.date.issued2020-
dc.identifier.citationLISÎ, Maria. Particularities of the evolution of acute obstructive pyelonephritis in pregnancy. In: MedEspera: the 8th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2020, p. 83-84.en_US
dc.identifier.urihttps://medespera.asr.md/wp-content/uploads/ABSTRACT-BOOK.pdf-
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/12224-
dc.descriptionDepartment of Urology and Surgical Nephrology, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova, The 8th International Medical Congress for Students and Young Doctors, September 24-26, 2020en_US
dc.description.abstractIntroduction. From the common complications of pregnancy, most often infections of the urinary tract (UTI) are met, these due to physiological and anatomical changes during pregnancy, which mostly leads to the development of urinary tract infection. Another important factor is the pregnant uterus that mechanically compresses the ureters and leads to urinary stasis. Aim of the study. Evaluation of the particularities of the evolution of acute obstructive pyelonephritis in pregnancy, the influence of infections on gestational duration, on childbirth and the particularities of the diagnostic plan. Materials and methods.. The study selected information from the medical record and perinatal notebook of each pregnant woman who is urgently hospitalized in the Urology Department ofthe Municipal Clinical Hospital "Sf.Treime". According to the protocol, the examination plan was: anamnesis, the history of the current disease, pathological history; paraclinical investigations: general blood analysis, general analysis of urine, biochemical and functional renal samples; imaging investigations: ultrasound. Results. All pregnant patients with acute obstructive pyelonephritis hospitalized in the Municipal Clinical Hospital "Sf.Treime" were between 20 and 34 years of age, the studied group comprised 34 pregnant women, so 23 pregnant women were primiparous, and 11 - multiparous. According to the protocol, 18 patients initially experienced lower back pain, fever - 22 cases, nausea – 10 cases, vomiting – 8 cases. Also, the initiated treatment consisted of cephalosporin antibioticotherapy and the installation of JJ stent over a period of 14 days under the supervision of the gynecologist. Conclusions. 1. Treatment of Acute Obstrictive Pyelonephritis in pregnancy is an emergency one. 2. The determination of the pathogen by taking uroculture in the Emergency Department would result in more effective treatment, by isolating the pathogen and continuing monotherapy. 3. Draining urine from the source of infection should be carried out urgently, preferring minimally invasive and continued hydroelectrolytic rebalancing methods. 4. In case of installation of JJ stent, this is also a source of infection, the duration of antibiotictherapy should be extended. 5. Patients also require monitoring in the post-partum period, as the atonia of the urets persists up to 5 weeks post-partum.en_US
dc.language.isoenen_US
dc.publisherMedEsperaen_US
dc.subjectpyelonephritisen_US
dc.subjecturinary tract infectionsen_US
dc.subjectpyelonephritis in pregnancyen_US
dc.titleParticularities of the evolution of acute obstructive pyelonephritis in pregnancyen_US
dc.typeArticleen_US
Appears in Collections:MedEspera 2020

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