Question: I've been diagnosed with klebsiella pneumoniae from an upper vaginal swab. I am 18 weeks pregnant and terrified that this will affect my baby.
I'm on co/amoxiclav 500mg x 3 daily. I'm in a terrible state.
I've read up on a case where this infection got to the fetal placenta and led to fetal demise.
Please let me know how dangerous this infection is in pregnancy.
I'm worried it will infect the placenta.
Also what if it is not sensitive to the co-Amoxiclav.
This is my third infection in just a few weeks. I had a vaginal infection of strep C and G which was treated with penicillin V and subsequently cleared. I then had a strep A infection on my groin which was treated with fuicidin H and it also cleared. The itching and yellow discharge never stopped and that's why I was retested and this time they found klebsiella pneumoniae on both upper vaginal swab and also on the labia and groin swab. The lab found the upper vaginal klebsiella pneumoniae sensitive to co-amoxiclav hence I am on it. However the lab has not yet confirmed that the klebsiella pneumoniae found in the labia and groin is also sensitive to co-amoxiclav. It has been 5 days since the swab so I am very worried that it is not being treated.
My questions are:
1) how dangerous is an upper vaginal infection of klebsiella pneumoniae?
2) can it cause PPROM?
3) how soon after taking the antibiotics should I be retested. I've been on them for 3 days but still have itching.
4) will I need recurrent testing throughout my pregnancy to make sure it doesn't recur. I am terrified that I may have an asymptotic infection which could cause problems, especially since this is my 3rd vaginal infection in just a few weeks.
5) is it safe to take probiotic supplement tablets containing live cultures to try and prevent future infections and to correct the vaginal balance.
6) in order for a vaginal infection to cause PROM does it have to have been festering for a long time and would I have to be very sick or could this just happen suddenly without serious symptoms?
Please help.

Thanks for your reply.
I have had a culture of the vaginal swab taken and it was found sensitive to co amoxiclav, which is what I am currently on.
1) why am I still experiencing quite severe itching despite being nearly half way through the course of antibiotics? Could it be a new infection or thrush? Or perhaps the antibiotic isn't working? Please let me know what is most likely.
2) why do I keep getting repeated vaginal infections. I am very careful with vaginal hygiene, and have not had sex since conception?
3) how dangerous is the klebsiella pneumoniae bacteria?
4) how common an infection is this in pregnancy?
5) how often should I have vaginal swabs to check for infection or would the blood tests be ok. I worry that repeat swabs could also cause infection.

I look forward to hearing.

Many thanks

Thanks for your reply.
How can I know if the infection was treated in a 'timely fashion'? I was clear on 17th XXXXXXX and swabbed two weeks later so I must have had this infection for nearly three weeks. How dangerous is that?

I have an oral pro biotic called 'optibak' which contains over 2.3 billion live cultures specifically designed for women. Should i take this?

Many thanks

Thanks.
My local hospital claims I do not need a blood test as I have no fever.
They also said no need to re swab as the vaginal discharge is now normal colour (not yellow anymore).
I hope they are correct.
They have given me thrush treatment.
I will be seeing them next week for review. Do you think this will be ok?

Also, fetal heart rate was 160 today and only 124 last time measured. I read somewhere that by 18+ weeks heart rate should be slower and a fast rate could be indicative of the infection affecting the fetus. Two weeks ago the heart rate was 124. Should I be worried?

Thanks for your reply.

Can thrush occur in the rectal area or only in the vagina?
I am getting severe itching mainly in the rectal area (it is definitely not threadworm) and someone told me this could also be thrush. Is this true?
If so, how would I treat it?

Thanks

Thank you for your reply.
I will rate your replies when all my questions have been answered.
I have been taking progesterone pesseries since having a bleed at 11 weeks. I am now 19 weeks pregnant and scared to stop the progesterone but I worry they might actually be contributing to my itchy vagina and rectum, and possibly even causing me thrush. I take one pesserie 400mg cyxlogest once daily, inserted through the rectum (not vaginally).
I was diagnosed with two subchorianic hematoma at 11 weeks, but they shrunk in size and there was only a trace of blood at a 15 week scan.
My questions:
1) could the progesterone be contributing to my problem?
2) is it safe to stop the progesterone now that I'm 19 weeks?

Thank you for your patience. I look forward to hearing.