Outcome of microbial invasion of amniotic cavity in the preterm premature rupture of membranes
Microbial invasion of amniotic cavity occurs in 30 to 50% of patients with premature membrane rupture. To determine the outcomes associated with microbial invasion of the amniotic cavity (MIAC) in patients with preterm premature rupture of membrane (pPROM). One hundred thirty four patients with pret...
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| Veröffentlicht in: | Revista medíca de Chile 2005-01, Vol.133 (1), p.51-61 |
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| creator | Ovalle S, Alfredo Gómez M, Ricardo Martínez T, M Angélica Kakarieka W, Elena Fuentes G, Ariel Aspillaga M, Carlos Ferrand M, Pedro Ramírez F, Carlos |
| description | Microbial invasion of amniotic cavity occurs in 30 to 50% of patients with premature membrane rupture.
To determine the outcomes associated with microbial invasion of the amniotic cavity (MIAC) in patients with preterm premature rupture of membrane (pPROM).
One hundred thirty four patients with preterm pPROM between 24 and 34 weeks of pregnancy, without clinical infection or labor, were studied. Cultures were obtained by transabdominal amniocentesis from the amniotic fluid and the lower genital tract. Four groups of MIAC were observed: MIAC1: due to S. agalactiae, F. nucleatum or H. influenzae as only etiologic agents, MIAC2: due to other bacteria, alone or mixed, MIAC3: due to U. urealyticum as only etiologic agent, MIAC0: No MIAC and no infection of the lower genital tract. Study patients received antibiotics and were managed expectantly until 35 weeks unless clinical chorioamnionitis developed or an amniotic fluid culture returned positive for S. agalactiae, F. nucleatum or H. influenzae.
Ninety six patients were enrolled: MIAC1 (n=11), MIAC2 (n=30), MIAC3 (n=19) and MIAC0 (n=36). Clinical chorioamnionitis was more common in patients with MIAC1 than those with MIAC3 (p |
| format | Article |
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To determine the outcomes associated with microbial invasion of the amniotic cavity (MIAC) in patients with preterm premature rupture of membrane (pPROM).
One hundred thirty four patients with preterm pPROM between 24 and 34 weeks of pregnancy, without clinical infection or labor, were studied. Cultures were obtained by transabdominal amniocentesis from the amniotic fluid and the lower genital tract. Four groups of MIAC were observed: MIAC1: due to S. agalactiae, F. nucleatum or H. influenzae as only etiologic agents, MIAC2: due to other bacteria, alone or mixed, MIAC3: due to U. urealyticum as only etiologic agent, MIAC0: No MIAC and no infection of the lower genital tract. Study patients received antibiotics and were managed expectantly until 35 weeks unless clinical chorioamnionitis developed or an amniotic fluid culture returned positive for S. agalactiae, F. nucleatum or H. influenzae.
Ninety six patients were enrolled: MIAC1 (n=11), MIAC2 (n=30), MIAC3 (n=19) and MIAC0 (n=36). Clinical chorioamnionitis was more common in patients with MIAC1 than those with MIAC3 (p<0.01) and those without infection (p<0.001). The admission to delivery interval was shorter in patients with MIAC1 (2.8 days) than those with MIAC3 (10.1 days, p<0.05) and those without infection (18 days, p<0.001). Delivery within 48 h and within 7 days of admission were also more frequent in patients with MIAC1 than in patients with MIAC3 (p<0.05) or those without infection (p<0.001). Newborns to mothers with MIAC1 had a higher frequency of infection (36%), asphyxia (36%), admission to neonatal ICU (100%) and death (46%) than those of mothers with MIAC3 and those without infection. Birth weight was also significantly lower. Histological chorioamnionitis was more common in patients with MIAC1 than in patients with MIAC3 and those without infection. The rate of funisitis was higher in patients with MIAC1 than those without infection.
In patients with preterm PROM, microbial invasion of the amniotic cavity by S. agalactiae, F. nucleatum or H. influenzae is associated with high frequency of adverse maternal and neonatal outcomes and neonatal death.]]></description><identifier>ISSN: 0034-9887</identifier><identifier>PMID: 15768150</identifier><language>spa</language><publisher>Chile</publisher><subject>Adolescent ; Adult ; Amniotic Fluid - microbiology ; Female ; Fetal Membranes, Premature Rupture - drug therapy ; Fetal Membranes, Premature Rupture - microbiology ; Humans ; Infant, Newborn ; Obstetric Labor, Premature ; Placenta - microbiology ; Placenta - pathology ; Pregnancy ; Pregnancy Outcome</subject><ispartof>Revista medíca de Chile, 2005-01, Vol.133 (1), p.51-61</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15768150$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ovalle S, Alfredo</creatorcontrib><creatorcontrib>Gómez M, Ricardo</creatorcontrib><creatorcontrib>Martínez T, M Angélica</creatorcontrib><creatorcontrib>Kakarieka W, Elena</creatorcontrib><creatorcontrib>Fuentes G, Ariel</creatorcontrib><creatorcontrib>Aspillaga M, Carlos</creatorcontrib><creatorcontrib>Ferrand M, Pedro</creatorcontrib><creatorcontrib>Ramírez F, Carlos</creatorcontrib><title>Outcome of microbial invasion of amniotic cavity in the preterm premature rupture of membranes</title><title>Revista medíca de Chile</title><addtitle>Rev Med Chil</addtitle><description><![CDATA[Microbial invasion of amniotic cavity occurs in 30 to 50% of patients with premature membrane rupture.
To determine the outcomes associated with microbial invasion of the amniotic cavity (MIAC) in patients with preterm premature rupture of membrane (pPROM).
One hundred thirty four patients with preterm pPROM between 24 and 34 weeks of pregnancy, without clinical infection or labor, were studied. Cultures were obtained by transabdominal amniocentesis from the amniotic fluid and the lower genital tract. Four groups of MIAC were observed: MIAC1: due to S. agalactiae, F. nucleatum or H. influenzae as only etiologic agents, MIAC2: due to other bacteria, alone or mixed, MIAC3: due to U. urealyticum as only etiologic agent, MIAC0: No MIAC and no infection of the lower genital tract. Study patients received antibiotics and were managed expectantly until 35 weeks unless clinical chorioamnionitis developed or an amniotic fluid culture returned positive for S. agalactiae, F. nucleatum or H. influenzae.
Ninety six patients were enrolled: MIAC1 (n=11), MIAC2 (n=30), MIAC3 (n=19) and MIAC0 (n=36). Clinical chorioamnionitis was more common in patients with MIAC1 than those with MIAC3 (p<0.01) and those without infection (p<0.001). The admission to delivery interval was shorter in patients with MIAC1 (2.8 days) than those with MIAC3 (10.1 days, p<0.05) and those without infection (18 days, p<0.001). Delivery within 48 h and within 7 days of admission were also more frequent in patients with MIAC1 than in patients with MIAC3 (p<0.05) or those without infection (p<0.001). Newborns to mothers with MIAC1 had a higher frequency of infection (36%), asphyxia (36%), admission to neonatal ICU (100%) and death (46%) than those of mothers with MIAC3 and those without infection. Birth weight was also significantly lower. Histological chorioamnionitis was more common in patients with MIAC1 than in patients with MIAC3 and those without infection. The rate of funisitis was higher in patients with MIAC1 than those without infection.
In patients with preterm PROM, microbial invasion of the amniotic cavity by S. agalactiae, F. nucleatum or H. influenzae is associated with high frequency of adverse maternal and neonatal outcomes and neonatal death.]]></description><subject>Adolescent</subject><subject>Adult</subject><subject>Amniotic Fluid - microbiology</subject><subject>Female</subject><subject>Fetal Membranes, Premature Rupture - drug therapy</subject><subject>Fetal Membranes, Premature Rupture - microbiology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Obstetric Labor, Premature</subject><subject>Placenta - microbiology</subject><subject>Placenta - pathology</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><issn>0034-9887</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kEtLxDAUhbNQnHH0L0hW7grJJM1jKYMvGJiNbi1peoORpqlJOjD_3lbH1ce553A43Au0JoTxSislV-g65y9CtlJQdYVWtJZC0Zqs0cdhKjYGwNHh4G2KrTc99sPRZB-H5WrC4GPxFltz9OU0e7h8Ah4TFEhhYTBlSoDTNP5yaYLQJjNAvkGXzvQZbs_coPenx7fdS7U_PL_uHvbVSJkuFePKEc0Is6IG4kjHRNsZblvGiSadFZKDJbMUTgrG6FYoqbl2jlHKuRZsg-7_escUvyfIpQk-W-j7eUScciNkTbXQag7enYNTG6BrxuSDSafm_yPsB9VfXH4</recordid><startdate>200501</startdate><enddate>200501</enddate><creator>Ovalle S, Alfredo</creator><creator>Gómez M, Ricardo</creator><creator>Martínez T, M Angélica</creator><creator>Kakarieka W, Elena</creator><creator>Fuentes G, Ariel</creator><creator>Aspillaga M, Carlos</creator><creator>Ferrand M, Pedro</creator><creator>Ramírez F, Carlos</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200501</creationdate><title>Outcome of microbial invasion of amniotic cavity in the preterm premature rupture of membranes</title><author>Ovalle S, Alfredo ; Gómez M, Ricardo ; Martínez T, M Angélica ; Kakarieka W, Elena ; Fuentes G, Ariel ; Aspillaga M, Carlos ; Ferrand M, Pedro ; Ramírez F, Carlos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-348f09303c65e0f0d36bda4cb34090dc674ec0cb36f763312687949ff31144963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Amniotic Fluid - microbiology</topic><topic>Female</topic><topic>Fetal Membranes, Premature Rupture - drug therapy</topic><topic>Fetal Membranes, Premature Rupture - microbiology</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Obstetric Labor, Premature</topic><topic>Placenta - microbiology</topic><topic>Placenta - pathology</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ovalle S, Alfredo</creatorcontrib><creatorcontrib>Gómez M, Ricardo</creatorcontrib><creatorcontrib>Martínez T, M Angélica</creatorcontrib><creatorcontrib>Kakarieka W, Elena</creatorcontrib><creatorcontrib>Fuentes G, Ariel</creatorcontrib><creatorcontrib>Aspillaga M, Carlos</creatorcontrib><creatorcontrib>Ferrand M, Pedro</creatorcontrib><creatorcontrib>Ramírez F, Carlos</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revista medíca de Chile</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ovalle S, Alfredo</au><au>Gómez M, Ricardo</au><au>Martínez T, M Angélica</au><au>Kakarieka W, Elena</au><au>Fuentes G, Ariel</au><au>Aspillaga M, Carlos</au><au>Ferrand M, Pedro</au><au>Ramírez F, Carlos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of microbial invasion of amniotic cavity in the preterm premature rupture of membranes</atitle><jtitle>Revista medíca de Chile</jtitle><addtitle>Rev Med Chil</addtitle><date>2005-01</date><risdate>2005</risdate><volume>133</volume><issue>1</issue><spage>51</spage><epage>61</epage><pages>51-61</pages><issn>0034-9887</issn><abstract><![CDATA[Microbial invasion of amniotic cavity occurs in 30 to 50% of patients with premature membrane rupture.
To determine the outcomes associated with microbial invasion of the amniotic cavity (MIAC) in patients with preterm premature rupture of membrane (pPROM).
One hundred thirty four patients with preterm pPROM between 24 and 34 weeks of pregnancy, without clinical infection or labor, were studied. Cultures were obtained by transabdominal amniocentesis from the amniotic fluid and the lower genital tract. Four groups of MIAC were observed: MIAC1: due to S. agalactiae, F. nucleatum or H. influenzae as only etiologic agents, MIAC2: due to other bacteria, alone or mixed, MIAC3: due to U. urealyticum as only etiologic agent, MIAC0: No MIAC and no infection of the lower genital tract. Study patients received antibiotics and were managed expectantly until 35 weeks unless clinical chorioamnionitis developed or an amniotic fluid culture returned positive for S. agalactiae, F. nucleatum or H. influenzae.
Ninety six patients were enrolled: MIAC1 (n=11), MIAC2 (n=30), MIAC3 (n=19) and MIAC0 (n=36). Clinical chorioamnionitis was more common in patients with MIAC1 than those with MIAC3 (p<0.01) and those without infection (p<0.001). The admission to delivery interval was shorter in patients with MIAC1 (2.8 days) than those with MIAC3 (10.1 days, p<0.05) and those without infection (18 days, p<0.001). Delivery within 48 h and within 7 days of admission were also more frequent in patients with MIAC1 than in patients with MIAC3 (p<0.05) or those without infection (p<0.001). Newborns to mothers with MIAC1 had a higher frequency of infection (36%), asphyxia (36%), admission to neonatal ICU (100%) and death (46%) than those of mothers with MIAC3 and those without infection. Birth weight was also significantly lower. Histological chorioamnionitis was more common in patients with MIAC1 than in patients with MIAC3 and those without infection. The rate of funisitis was higher in patients with MIAC1 than those without infection.
In patients with preterm PROM, microbial invasion of the amniotic cavity by S. agalactiae, F. nucleatum or H. influenzae is associated with high frequency of adverse maternal and neonatal outcomes and neonatal death.]]></abstract><cop>Chile</cop><pmid>15768150</pmid><tpages>11</tpages></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Amniotic Fluid - microbiology Female Fetal Membranes, Premature Rupture - drug therapy Fetal Membranes, Premature Rupture - microbiology Humans Infant, Newborn Obstetric Labor, Premature Placenta - microbiology Placenta - pathology Pregnancy Pregnancy Outcome |
| title | Outcome of microbial invasion of amniotic cavity in the preterm premature rupture of membranes |
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