肯尼亚内罗毕产后子宫内膜炎的微生物病因及诊断标准
Microbial aetiology and diagnostic criteria of postpartum endometritis in Nairobi, Kenya.
作者信息
Temmerman M, Laga M, Ndinya-Achola J O, Paraskevas M, Brunham R C, Plummer F A, Piot P
机构信息
Department of Obstetrics and Gynaecology, University Hospital, University of Brussels, Belgium.
出版信息
Genitourin Med. 1988 Jun;64(3):172-5. doi: 10.1136/sti.64.3.172.
Using a protected triple lumen device, Neisseria gonorrhoeae or Chlamydia trachomatis, or both, were isolated from the endometriums of five out of 35 women with clinical postpartum endometritis compared with none of a control group of 30 puerperal women without endometritis (p less than 0.05) in Nairobi, Kenya. These sexually transmitted agents were also found in 12 cervical specimens from women with and three without postpartum endometritis (p = 0.04). Mycoplasma hominis and Ureaplasma urealyticum were equally isolated from the endometrium in both groups. Histology showed plasma cell infiltration in 6/25 patients compared with 1/22 controls (p = 0.06). A history of foul lochia (p less than 0.01) and abdominal pain (p = 0.02) were associated with postpartum endometritis. Sexually transmitted agents appear to be major causes of puerperal upper genital tract infections in Nairobi.
在内罗毕、肯尼亚，使用一种带保护装置的三腔导管，从35例患有临床产后子宫内膜炎的女性中的5例子宫内膜中分离出淋病奈瑟菌或沙眼衣原体，或两者皆有；相比之下，30例无子宫内膜炎的产后女性对照组中均未分离出（p<0.05）。在患有产后子宫内膜炎的女性的12份宫颈标本以及3份无产后子宫内膜炎的女性的宫颈标本中也发现了这些性传播病原体（p = 0.04）。两组中均从子宫内膜中同样分离出人型支原体和解脲脲原体。组织学显示，25例患者中有6例出现浆细胞浸润，而22例对照组中有1例出现浆细胞浸润（p = 0.06）。恶露有异味史（p<0.01）和腹痛（p = 0.02）与产后子宫内膜炎有关。性传播病原体似乎是内罗毕产后上生殖道感染的主要原因。
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