Monif G R
Obstet Gynecol. 1982 Aug;60(2):184-7.
In an 8-year period, 16 cases of parturitional septicemia due to the Enterobacteriaceae in the immediate postpartum period were identified that were not due to pyelonephritis. Fourteen of the 16 patients had more than 100,000 colonies per milliliter of urine of the same member of the Enterobacteriaceae as was present in the blood. Twelve of the 16 patients had concomitant endometrial cultures. In 11 patients the same isolate was recovered from urine and endometrium as had been recovered from the intravascular compartment. The data suggest an etiologic relationship between asymptomatic bacteriuria and septicemia due to the Enterobacteriaceae in which the maternal implantation site affords the principal portal of infection.
在8年期间，共确诊16例产后即刻发生的非肾盂肾炎所致的肠杆菌科产褥期败血症。16例患者中有14例尿液中每毫升有超过10万个与血液中相同的肠杆菌科细菌菌落。16例患者中有12例同时进行了子宫内膜培养。11例患者尿液和子宫内膜中分离出的菌株与血管内分离出的相同。数据表明，无症状菌尿与肠杆菌科败血症之间存在病因学关系，其中母体植入部位是主要的感染门户。
