Pelvic inflammatory disease and puerperal sepsis in ethiopia

Maternal and early onset neonatal bacterial sepsis: burden and strategies for prevention in sub-Saharan Africa

“…Samples were taken at 6 days post partum for the isolation of these organisms and Mycoplasma hominis, Ureaplasma urealyticum (isolated equally from both cases and controls), and S agalactiae (not isolated in either group). A high prevalence (19; 28%) of N gonorrhoeae was also reported in cases of puerperal sepsis from a study of pelvic infections in Ethiopia 29. Another retrospective study from Nigeria,27 of microbiological isolates from the genital tract of patients with puerperal sepsis (taken for clinical purposes, sites not specified), identified S aureus (29; 20%) as the most common pathogen, followed by Escherichia coli (18; 12%) and Proteus sp (17; 12%).…”

Oral and Intramuscular Treatment Options for Early Postpartum Endometritis in Low-Resource Settings

“…46,59 In phase II, 530 articles were reviewed, of which 38 provided genus or speciated information related to organisms identified by endometrial culture at the time of diagnosis (before antibiotic treatment). We identified 38 studies 17,18,21,22,25,29,30,33,34,36,37,40,42,44,46,48,49,51,55,[57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72][73] that reported pathogens from endometrial samples of patients with a clinical diagnosis of postpartum endometritis. We then generated a list of the most common 20 genus and family ( Table 2).…”

Causes of puerperal and neonatal sepsis in resource‐constrained settings and advocacy for an integrated community‐based postnatal approach

“…Table 1 summarizes the results of 11 primary research papers that met the inclusion criteria, 8 of which were from Sub-Saharan Africa. These 11 papers gave details of microorganisms identified from genital tract swabs taken from pregnant or postpartum women; 7 studies provided microbiology results for women diagnosed with puerperal sepsis [9][10][11][12][13][14][15]. One study also included microbiologic culture of blood or pus from abscesses [15].…”

“…These 11 papers gave details of microorganisms identified from genital tract swabs taken from pregnant or postpartum women; 7 studies provided microbiology results for women diagnosed with puerperal sepsis [9][10][11][12][13][14][15]. One study also included microbiologic culture of blood or pus from abscesses [15]. The remaining studies included microbiologic data from asymptomatic pregnant or postnatal women [16][17][18][19].…”

“…International Journal of Gynecology and Obstetrics 123 (2013) [10][11][12][13][14][15] Recognition of an inadequate focus on provision of postnatal care to mothers by skilled health workers, coupled with the fact that 60% of postpartum maternal deaths occur in the first 24 hours after delivery, led to the publication of a WHO consultation report on postpartum and postnatal care [8]. Although there is a limited research base from which to draw evidence for the timing and contents of postnatal care packages, the WHO report discussed the importance of review in the first day after delivery and made a number of recommendations for community-based maternal care, including "immediate referral (emergency action)…if there is…temperature above 38 degrees Celsius on the second reading or there are other observable symptoms and measurable signs of sepsis" [8].…”