Respiratory infections and pregnancy

Pitsiou G, Kioumis I

Department of Pneumonology, Aristotle University of Thessaloniki, Papanikolaou hospital, Thessaloniki, Greece

Correspondence: Kioumis Ioannis, Department of Pneumonology, Aristotle University of Thessaloniki, Papanikolaou hospital, GR-57010, Thessaloniki, Greece. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 


 

Abstract

Respiratory infections during pregnancy, although not uncommon, do not represent a significant burden, however, their management requires special attention. Mostly important entities are pneumonia, influenza and tuberculosis. Diagnosis must be prompt and radiologic investigation can be safe, under the proper security measures. Therapeutic management needs to take in account not only the possible toxicities of the chemotherapeutic agents, but also the modified pharmacokinetics due to the alterations of the physiology of the pregnant woman. Influenza vaccination is necessary, especially during epidemics, since it offers protection against a potentially life threatening disease. Recent evolution of resistance in tuberculosis underlines the maintenance of a high degree of suspicion for diagnosis as well as the need for cooperation between the obstetrician and the chest physician.

Key words: pregnancy; pneumonia; influenza; tuberculosis