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孕早期流产后子宫感染中的厌氧菌。

Anaerobic bacteria in uterine infection following first trimester abortion.

作者信息

Moberg P J, Gottlieb C, Nord C E

出版信息

Eur J Clin Microbiol. 1982 Apr;1(2):82-6. doi: 10.1007/BF02014196.

DOI:10.1007/BF02014196
PMID:6890898
Abstract

Samples of uterine fluid and cervical mucus for bacterial culture were obtained from 23 patients with endometritis following first trimester abortion. Uterine samples were obtained via a sheathed system which minimizes contamination by the cervical flora. A mean of 3.4 isolates were identified in cervical samples as compared to 1.8 in uterine samples. Anaerobic bacteria were found in 57% of the uterine samples and dominated in both uterine and cervical samples. Peptostreptococcus species dominated in cervical samples and Bacteroides species in uterine samples. Significantly more bacterial species were found in uterine samples from patients with a high erythrocyte sedimentation rate. Since no bacteria were found in 39% of uterine samples a possible role of nonmicrobial pyrogenic substances is suggested.

摘要

从23例孕早期流产后发生子宫内膜炎的患者中获取子宫液和宫颈黏液样本进行细菌培养。子宫样本通过带鞘系统获取,该系统可将宫颈菌群的污染降至最低。宫颈样本中平均鉴定出3.4种分离菌,而子宫样本中为1.8种。57%的子宫样本中发现了厌氧菌,且在子宫和宫颈样本中均占主导。消化链球菌属在宫颈样本中占主导,而拟杆菌属在子宫样本中占主导。红细胞沉降率高的患者的子宫样本中发现的细菌种类明显更多。由于39%的子宫样本中未发现细菌,提示非微生物致热物质可能起作用。

相似文献

1
Anaerobic bacteria in uterine infection following first trimester abortion.孕早期流产后子宫感染中的厌氧菌。
Eur J Clin Microbiol. 1982 Apr;1(2):82-6. doi: 10.1007/BF02014196.
2
Morbidity risk among young adolescents undergoing elective abortion.接受选择性堕胎的青少年的发病风险。
Contraception. 1984 Aug;30(2):99-105. doi: 10.1016/0010-7824(84)90093-3.
3
Effect of prophylactic administration of sulbactam/ampicillin on the rate of postoperative endometritis after first-trimester abortion.预防性给予舒巴坦/氨苄西林对早期流产术后子宫内膜炎发生率的影响。
Rev Infect Dis. 1986 Nov-Dec;8 Suppl 5:S576-8. doi: 10.1093/clinids/8.supplement_5.576.
4
The hazards of vacuum aspiration in late first trimester abortions.孕早期晚期真空吸引流产的危害。
Acta Obstet Gynecol Scand. 1975;54(2):113-8. doi: 10.3109/00016347509156742.
5
Uterine rupture during induced mid-trimester abortion.孕中期引产时子宫破裂
Eur J Obstet Gynecol Reprod Biol. 1985 Mar;19(3):175-82. doi: 10.1016/0028-2243(85)90152-2.
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Radiographic findings in cervix uteri after prostaglandin abortion induction.
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Early complications after induced first-trimester abortion.孕早期人工流产后的早期并发症。
Acta Obstet Gynecol Scand. 1987;66(3):201-4. doi: 10.3109/00016348709020747.
8
Comparative study of various intracervically administered PG gel preparations for termination of first trimester pregnancies.不同宫颈内给药的前列腺素凝胶制剂用于终止早期妊娠的比较研究。
Contraception. 1983 Sep;28(3):209-22. doi: 10.1016/0010-7824(83)90062-8.
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Evaluation of a balloon dilator before second-trimester abortion by vacuum curettage.孕中期负压吸宫流产术前球囊扩张器的评估。
Am J Obstet Gynecol. 1979 Sep 15;135(2):199-201. doi: 10.1016/0002-9378(79)90343-0.
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Risk of damage to the cervix by dilatation for first-trimester-induced abortion by suction aspiration.
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引用本文的文献

1
Controversies in family planning: postabortal pelvic inflammatory disease.计划生育中的争议:流产后盆腔炎
Contraception. 2013 Apr;87(4):497-503. doi: 10.1016/j.contraception.2012.04.005. Epub 2012 May 29.

本文引用的文献

1
Effect of erythromycin and clindamycin on the indigenous human anaerobic flora and new colonization of the gastrointestinal tract.红霉素和克林霉素对人体胃肠道固有厌氧菌丛及新定植菌的影响。
Eur J Clin Microbiol. 1982 Feb;1(1):38-48. doi: 10.1007/BF02014139.
2
A clinical double-blind study on the effect of prophylactically administered single dose tinidazole on the occurrence of endometritis after first trimester legal abortion.一项关于预防性单次给予替硝唑对孕早期合法流产后子宫内膜炎发生影响的临床双盲研究。
Scand J Infect Dis Suppl. 1981;26:104-9.
3
Early and late complications after therapeutic abortion.
治疗性流产后的早期和晚期并发症。
Am J Obstet Gynecol. 1974 Jan 1;118(1):34-5. doi: 10.1016/s0002-9378(16)33640-7.
4
Accidents and sequelae of medical abortions.人工流产的事故及后遗症。
Am J Obstet Gynecol. 1973 Jul 15;116(6):813-21. doi: 10.1016/0002-9378(73)91014-4.
5
Complications of 10,453 consecutive first-trimester abortions: a prospective study.10453例连续早期流产的并发症:一项前瞻性研究。
Am J Obstet Gynecol. 1974 Nov 15;120(6):802-7. doi: 10.1016/0002-9378(74)90584-5.
6
Antibiotic sensitivity testing. Report of an international collaborative study.抗生素敏感性试验。一项国际合作研究报告。
Acta Pathol Microbiol Scand B Microbiol Immunol. 1971;217:Suppl 217:1+.
7
The hazards of vacuum aspiration in late first trimester abortions.孕早期晚期真空吸引流产的危害。
Acta Obstet Gynecol Scand. 1975;54(2):113-8. doi: 10.3109/00016347509156742.
8
Prophylactic use of tetracycline for first trimester abortions.
Obstet Gynecol. 1975 May;45(5):574-8.
9
Anaerobic infections of the female genital tract: prospects and perspectives.女性生殖道的厌氧感染:前景与展望。
Obstet Gynecol Surv. 1975 Jul;30(7):477-94. doi: 10.1097/00006254-197507000-00028.
10
A new approach to patients with suspected anaerobic postpartum pelvic infections. Transabdominal uterine aspiration for culture and metronidazole for treatment.一种针对疑似厌氧性产后盆腔感染患者的新方法。经腹子宫穿刺抽吸进行培养,并使用甲硝唑进行治疗。
Am J Obstet Gynecol. 1976 Sep 1;126(1):1-6. doi: 10.1016/0002-9378(76)90455-5.