Georgiev P, Vŭrleva T
Akush Ginekol (Sofiia). 1993;32(2):3-5.
A series of 8 cases of puerperal sepsis caused by beta-haemolytic Streptococcus from group A is analysed, including two cases of death--of a mother and her newborn. Among the women in seven cases serotype 2 of beta-haemolytic Streptococcus from group A has been identified. The cases have been observed in the Delivery department as a result of the existing favorable conditions for the transmission of the infection. Most probably among these conditions are the negligence of the sterility of the obstetric service from the moment of admission in the ward as well as the possibility for personal contacts among the patients after delivery. The late diagnosis (after two cases of death--of a newborn and a mother) can be attributed to the atypical clinical course of the disease as well as to the negligence of the existing relatively simple methods for early diagnosis. Among the mothers in two of the cases after radical surgical treatment combined with antibiotics and in all the others--after the application of high doses of antibiotics alone, the septic conditions has been overcome. The authors stress on the existing possibilities for the development of streptococcal sepsis in the era of the effective treatment of infections caused by this agent with antibiotics and once more underline the role of the penicillins in cases of septic streptococcal infections.
分析了8例由A组β溶血性链球菌引起的产褥期败血症病例，其中包括1例母亲和1例新生儿死亡。7例女性中已鉴定出A组β溶血性链球菌2型。由于存在感染传播的有利条件，这些病例在分娩科被观察到。这些条件中很可能包括从入院病房起产科服务无菌操作的疏忽，以及产后患者之间进行人际接触的可能性。诊断延迟（在1例新生儿和1例母亲死亡之后）可归因于疾病不典型的临床过程以及现有相对简单的早期诊断方法被忽视。2例母亲在接受根治性手术联合抗生素治疗后，其他所有病例在仅使用大剂量抗生素治疗后，败血症病情均得到控制。作者强调在使用抗生素有效治疗该病原体引起的感染的时代，仍有可能发生链球菌败血症，并再次强调青霉素在链球菌败血症感染病例中的作用。
