Bosch J, Pericot A, Amorós M, Ros R
Laboratorio de Microbiología, Hospital Casa de Maternitat, Barcelona.
Enferm Infecc Microbiol Clin. 1995 Apr;13(4):203-8.
To know the epidemiologic features, clinical manifestations and etiology of puerperal endometritis in our environment in addition to the use of endometrial cultures in the microbiologic diagnosis of this infection.
A retrospective study of 52 cases of puerperal endometritis, clinically and microbiologically diagnosed over a 4-year period.
Fifty percent of patients had undergone a cesarean, 36.5% presented puerperal anemia and 23% presented upper amniorrhexis at 12 hours. All the patients presented puerperal fever greater than 38 degrees C, 46% uterine subinvolution and 24% fetid lochia. The most frequently isolated microorganisms in the endometrial aspirate were Escherichia coli, Streptococcus agalactiae and Bacteroides spp. The association of ampicillin plus cefoxitine and clindamycin plus tobramycin presented in vitro efficacy in more than 85% of the isolates.
The practice of endometrial aspirate and blood cultures in patients suspected of having puerperal endometritis effectively contributes to the diagnosis and treatment of this infection.
了解我们所处环境中产后子宫内膜炎的流行病学特征、临床表现和病因，以及子宫内膜培养在该感染微生物诊断中的应用。
对4年间临床和微生物学诊断的52例产后子宫内膜炎病例进行回顾性研究。
50%的患者接受了剖宫产，36.5%出现产后贫血，23%在12小时时出现胎膜早破。所有患者均出现体温高于38摄氏度的产后发热，46%子宫复旧不全，24%恶露有臭味。子宫内膜吸出物中最常分离出的微生物是大肠杆菌、无乳链球菌和拟杆菌属。氨苄西林加头孢西丁以及克林霉素加妥布霉素的联合用药对超过85%的分离株具有体外疗效。
对疑似产后子宫内膜炎的患者进行子宫内膜吸出物和血培养，对该感染的诊断和治疗有有效的帮助。
