Update: Infectious Disease

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June 2010 · Vol. 22, No. 06

UPDATE: INFECTIOUS DISEASE

The focus here is twofold: dealing with H1N1 influenza in vulnerable populations and taking up strategies to prevent postoperative infection in women undergoing cesarean delivery

IN THIS ARTICLE

Don’t rely on rapid H1N1 tests to decide whether to treat a patient
Are prophylactic antibiotics helpful in women at low risk of infection?
When to administer prophylaxis in women undergoing cesarean delivery

Fast Track

Essentially all strains of H1N1 virus are resistant to amantadine and rimantadine

Vaccinate pregnant women against H1N1 influenza using only the inactivated vaccine, not the live virus

Louie and coworkers documented an H1N1 influenzaspecific mortality ratio of 4.3 maternal deaths for every 100,000 live births

Transmission of hepatitis B via a contaminated surgical needle has been well documented

Antibiotic prophylaxis is recommended for all women undergoing cesarean delivery

Virtually every investigation has confirmed that prophylactic antibiotics reduce the frequency of postcesarean endometritis and, usually, wound infection as well

Preoperative administration of prophylactic antibiotics for women undergoing cesarean delivery is safe for the newborn

Patrick Duff, MD

Dr. Duff is Professor and Residency Program Director, Department of Obstetrics and Gynecology, at the University of Florida College of Medicine in Gainesville, Fla.

Dr. Duff reports no financial relationships relevant to this article.

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