Document Detail


Bacteremia in obstetrics: clinical course.
MedLine Citation:
PMID:  7301239     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors reviewed all documented cases of bacteremia in obstetric patients between 1975 and 1979, with emphasis on the clinical course. The incidence of bacteremia was 7.5:1000 obstetric admissions and 9.7% of those patients sampled. One hundred seventy-six bacteremic obstetric patients had the following diagnoses: endoparametritis (123), pyelonephritis (29), chorioamnionitis (14), and other (10). No deaths, clinical evidence of septic shock, or cases of postinfection endocarditis were found. The most common bloodstream isolates were Escherichia coli (57), group B streptococcus (28), and Bacteroides sp (26). The patients with endoparametritis had a fever index of 86.2 +/- 47.1F-hours, an average hospital stay of 6.5 +/- 3.1 days, a 7.3% rate of complications, and a 19.5% rate of failure of primary antibiotics. The patients with chorioamnionitis had a fever index of 32.7 +/- 48.9F-hours and an average hospital stay of 4.8 +/- 2.3 days. These clinical measures are comparable with those in the general population with the same diagnoses at the authors' hospital. In this obstetric population, prompt, vigorous treatment rendered the clinical course of bacteremic patients with genital infections remarkably similar to that of nonbacteremic patients with the same kinds of infection.
Authors:
J D Blanco; R S Gibbs; Y S Castaneda
Related Documents :
2052979 - Enterobacter sakazakii bacteremia in an adult.
3977489 - Campylobacter fetus subspecies fetus bacteremia.
19090869 - Infective spondylodiscitis in patients on high-flux hemodialysis and on-line hemodiafil...
17253909 - Predictors of in-hospital mortality for bloodstream infections caused by enterobacter s...
3278159 - Management of catheter-related infections in pediatric patients.
22475299 - Autoimmune hemolytic anemia in patients with β-thalassemia major.
2052979 - Enterobacter sakazakii bacteremia in an adult.
18753289 - Secondary prevention of stroke: using the experiences of patients and carers to inform ...
23388559 - Acute toxicity profile of patients with low-grade gliomas and meningiomas receiving pro...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  58     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1981 Nov 
Date Detail:
Created Date:  1982-01-09     Completed Date:  1982-01-09     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  621-5     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anti-Bacterial Agents / therapeutic use
Bacteria / isolation & purification
Endometritis / complications
Female
Humans
Length of Stay
Middle Aged
Parametritis / complications
Pregnancy
Pregnancy Complications, Infectious / diagnosis*
Puerperal Infection / complications
Pyelonephritis / complications
Sepsis / diagnosis*,  drug therapy,  microbiology
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Pregnancy outcomes in black women aged 35 and older.
Next Document:  Alternative birth rooms and birth options.