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Transient bacteremia due to suction abortion: implications for SBE antibiotic prophylaxis.
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MedLine Citation:
PMID:  602257     Owner:  NLM     Status:  MEDLINE    
The incidence and character of the bacteremia associated with elective suction abortion was investigated in volunteer subjects aged 19 to 35 years who were to undergo first trimester abortion by suction curettage. One hundred and forty-four blood cultures were obtained from thirteen pregnant and four non-pregnant (control) subjects matched for age. Transient bacteremia occurred during or soon after suction abortion in 11 of 13 (84.7%) study subjects. Four of these patients were bacteremic after bimanual pelvic examination, just prior to initiation of the abortion procedure. Seven others developed bacteremia temporally related to cervical dilatation and suction abortion. The bacteremia was intermittent in some, persistent in others, existed as long as one hour after the procedure, and was transient in all patients. Microorganisms isolated from the blood were all normal genital tract flora and were predominantly anaerobes, although alpha hemolytic streptococci were also recovered. Mixed bacteremia occurred in six patients. In contrast, blood cultures from four non-pregnant women were sterile. This study indicates that the systemic circulation-uterine cavity barrier is significantly disrupted during abortion by suction curettage permitting endogenous genital tract microorganisms to gain access into the bloodstream. These observations also suggest that there may be some risk of developing endocarditis during suction abortion in patients with cardiac deformities, and lend some support to the current practice of giving antibiotic prophylaxis to abortion patients with cardiac lesions which predispose them to endocarditis.
R Ritvo; P Monroe; V T Andriole
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Yale journal of biology and medicine     Volume:  50     ISSN:  0044-0086     ISO Abbreviation:  Yale J Biol Med     Publication Date:    1977 Sep-Oct
Date Detail:
Created Date:  1978-03-10     Completed Date:  1978-03-10     Revised Date:  2012-05-30    
Medline Journal Info:
Nlm Unique ID:  0417414     Medline TA:  Yale J Biol Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  471-9     Citation Subset:  IM    
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MeSH Terms
Abortion, Induced / adverse effects*,  methods
Anti-Bacterial Agents
Endocarditis, Bacterial / prevention & control
Sepsis / epidemiology,  etiology*
Time Factors
Reg. No./Substance:
0/Anti-Bacterial Agents

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

Full Text
Journal Information
Journal ID (nlm-ta): Yale J Biol Med
ISSN: 0044-0086
ISSN: 1551-4056
Article Information
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Print publication date: Season: Sep?Oct Year: 1977
Volume: 50 Issue: 5
First Page: 471 Last Page: 479
ID: 2595558
PubMed Id: 602257
PubMed Id: 602257

Transient Bacteremia Due to Suction Abortion: Implications for SBE Antibiotic Prophylaxis
Rachel Ritvo
Phyllis Monroe
Vincent T. Andriole

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