Bacteremia in Obstetrics: Clinical Course

The authors reviewed all documented cases of bacteremia in obstetric patients between 1975 and 1979, with emphasis on the clinical course. The incidence of bacteremia was 7.5:1000 obstetric admissions and 9.7% of those patients sampled. One hundred seventy-six bacteremic obstetric patients had the f...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 1981-11, Vol.58 (5), p.621-625
Hauptverfasser: BLANCO, JORGE D, GIBBS, RONALD S, CASTANEDA, YOLANDA S
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 625
container_issue 5
container_start_page 621
container_title Obstetrics and gynecology (New York. 1953)
container_volume 58
creator BLANCO, JORGE D
GIBBS, RONALD S
CASTANEDA, YOLANDA S
description The authors reviewed all documented cases of bacteremia in obstetric patients between 1975 and 1979, with emphasis on the clinical course. The incidence of bacteremia was 7.5:1000 obstetric admissions and 9.7% of those patients sampled. One hundred seventy-six bacteremic obstetric patients had the following diagnosesendoparametritis (123), pyelonephritis (29), chorioamnionitis (14), and other (10). No deaths, clinical evidence of septic shock, or cases of postinfection endocarditis were found. The most common bloodstream isolates were Escherichia coli (57), group B streptococcus (28), and Bacteroides sp (26). The patients with endoparametritis had a fever index of 86.2 ± 47.1Fhours, an average hospital stay of 6.5 ± 3.1 days, a 7.3% rate of complications, and a 19.5% rate of failure of primary antibiotics. The patients with chorioamnionitis had a fever index of 32.7 ± 48.9F-hours and an average hospital stay of 4.8 ± 2.3 days. These clinical measures are comparable with those in the general population with the same diagnoses at the authorsʼ hospital. In this obstetric population, prompt, vigorous treatment rendered the clinical course of bacteremic patients with genital infections remarkably similar to that of nonbacteremic patients with the same kinds of infection.
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_73727964</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>73727964</sourcerecordid><originalsourceid>FETCH-LOGICAL-p2516-184b494efdca72ca3a07f73cbb3bd624164d4b16e7520cc7d6453bf5be4b29f13</originalsourceid><addsrcrecordid>eNotkE1LxDAYhIMo67r6E4SeBA-BJG-aNN60-AULe1HwVpL0LRtNt2vSIv57i7unYZiHgZkTsuSVBioAPk7JkjFhqK6kPCcXOX8yxrgysCALDYwLMEty-2D9iAn7YIuwKzYujzim4PNdUcewC97Goh6mlPGSnHU2Zrw66oq8Pz2-1S90vXl-re_XdC9KriivpJNGYtd6q4W3YJnuNHjnwLVKSK5kKx1XqEvBvNetkiW4rnQonTAdhxW5OfTu0_A9YR6bPmSPMdodDlNuNGihjZIzeH0EJ9dj2-xT6G36bY7b5lwe8p8hzhPzV5x-MDVbtHHcNvMXTImSUW4qzvns6P898AdlQlny</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>73727964</pqid></control><display><type>article</type><title>Bacteremia in Obstetrics: Clinical Course</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>BLANCO, JORGE D ; GIBBS, RONALD S ; CASTANEDA, YOLANDA S</creator><creatorcontrib>BLANCO, JORGE D ; GIBBS, RONALD S ; CASTANEDA, YOLANDA S</creatorcontrib><description>The authors reviewed all documented cases of bacteremia in obstetric patients between 1975 and 1979, with emphasis on the clinical course. The incidence of bacteremia was 7.5:1000 obstetric admissions and 9.7% of those patients sampled. One hundred seventy-six bacteremic obstetric patients had the following diagnosesendoparametritis (123), pyelonephritis (29), chorioamnionitis (14), and other (10). No deaths, clinical evidence of septic shock, or cases of postinfection endocarditis were found. The most common bloodstream isolates were Escherichia coli (57), group B streptococcus (28), and Bacteroides sp (26). The patients with endoparametritis had a fever index of 86.2 ± 47.1Fhours, an average hospital stay of 6.5 ± 3.1 days, a 7.3% rate of complications, and a 19.5% rate of failure of primary antibiotics. The patients with chorioamnionitis had a fever index of 32.7 ± 48.9F-hours and an average hospital stay of 4.8 ± 2.3 days. These clinical measures are comparable with those in the general population with the same diagnoses at the authorsʼ hospital. In this obstetric population, prompt, vigorous treatment rendered the clinical course of bacteremic patients with genital infections remarkably similar to that of nonbacteremic patients with the same kinds of infection.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 7301239</identifier><language>eng</language><publisher>United States: The American College of Obstetricians and Gynecologists</publisher><subject>Adolescent ; Adult ; Anti-Bacterial Agents - therapeutic use ; Bacteria - isolation &amp; purification ; Endometritis - complications ; Female ; Humans ; Length of Stay ; Middle Aged ; Parametritis - complications ; Pregnancy ; Pregnancy Complications, Infectious - diagnosis ; Puerperal Infection - complications ; Pyelonephritis - complications ; Sepsis - diagnosis ; Sepsis - drug therapy ; Sepsis - microbiology</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1981-11, Vol.58 (5), p.621-625</ispartof><rights>1981 The American College of Obstetricians and Gynecologists</rights><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/7301239$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BLANCO, JORGE D</creatorcontrib><creatorcontrib>GIBBS, RONALD S</creatorcontrib><creatorcontrib>CASTANEDA, YOLANDA S</creatorcontrib><title>Bacteremia in Obstetrics: Clinical Course</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>The authors reviewed all documented cases of bacteremia in obstetric patients between 1975 and 1979, with emphasis on the clinical course. The incidence of bacteremia was 7.5:1000 obstetric admissions and 9.7% of those patients sampled. One hundred seventy-six bacteremic obstetric patients had the following diagnosesendoparametritis (123), pyelonephritis (29), chorioamnionitis (14), and other (10). No deaths, clinical evidence of septic shock, or cases of postinfection endocarditis were found. The most common bloodstream isolates were Escherichia coli (57), group B streptococcus (28), and Bacteroides sp (26). The patients with endoparametritis had a fever index of 86.2 ± 47.1Fhours, an average hospital stay of 6.5 ± 3.1 days, a 7.3% rate of complications, and a 19.5% rate of failure of primary antibiotics. The patients with chorioamnionitis had a fever index of 32.7 ± 48.9F-hours and an average hospital stay of 4.8 ± 2.3 days. These clinical measures are comparable with those in the general population with the same diagnoses at the authorsʼ hospital. In this obstetric population, prompt, vigorous treatment rendered the clinical course of bacteremic patients with genital infections remarkably similar to that of nonbacteremic patients with the same kinds of infection.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Bacteria - isolation &amp; purification</subject><subject>Endometritis - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Middle Aged</subject><subject>Parametritis - complications</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - diagnosis</subject><subject>Puerperal Infection - complications</subject><subject>Pyelonephritis - complications</subject><subject>Sepsis - diagnosis</subject><subject>Sepsis - drug therapy</subject><subject>Sepsis - microbiology</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1981</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotkE1LxDAYhIMo67r6E4SeBA-BJG-aNN60-AULe1HwVpL0LRtNt2vSIv57i7unYZiHgZkTsuSVBioAPk7JkjFhqK6kPCcXOX8yxrgysCALDYwLMEty-2D9iAn7YIuwKzYujzim4PNdUcewC97Goh6mlPGSnHU2Zrw66oq8Pz2-1S90vXl-re_XdC9KriivpJNGYtd6q4W3YJnuNHjnwLVKSK5kKx1XqEvBvNetkiW4rnQonTAdhxW5OfTu0_A9YR6bPmSPMdodDlNuNGihjZIzeH0EJ9dj2-xT6G36bY7b5lwe8p8hzhPzV5x-MDVbtHHcNvMXTImSUW4qzvns6P898AdlQlny</recordid><startdate>198111</startdate><enddate>198111</enddate><creator>BLANCO, JORGE D</creator><creator>GIBBS, RONALD S</creator><creator>CASTANEDA, YOLANDA S</creator><general>The American College of Obstetricians and Gynecologists</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198111</creationdate><title>Bacteremia in Obstetrics: Clinical Course</title><author>BLANCO, JORGE D ; GIBBS, RONALD S ; CASTANEDA, YOLANDA S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2516-184b494efdca72ca3a07f73cbb3bd624164d4b16e7520cc7d6453bf5be4b29f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1981</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Bacteria - isolation &amp; purification</topic><topic>Endometritis - complications</topic><topic>Female</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Middle Aged</topic><topic>Parametritis - complications</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - diagnosis</topic><topic>Puerperal Infection - complications</topic><topic>Pyelonephritis - complications</topic><topic>Sepsis - diagnosis</topic><topic>Sepsis - drug therapy</topic><topic>Sepsis - microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BLANCO, JORGE D</creatorcontrib><creatorcontrib>GIBBS, RONALD S</creatorcontrib><creatorcontrib>CASTANEDA, YOLANDA S</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>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BLANCO, JORGE D</au><au>GIBBS, RONALD S</au><au>CASTANEDA, YOLANDA S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bacteremia in Obstetrics: Clinical Course</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1981-11</date><risdate>1981</risdate><volume>58</volume><issue>5</issue><spage>621</spage><epage>625</epage><pages>621-625</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>The authors reviewed all documented cases of bacteremia in obstetric patients between 1975 and 1979, with emphasis on the clinical course. The incidence of bacteremia was 7.5:1000 obstetric admissions and 9.7% of those patients sampled. One hundred seventy-six bacteremic obstetric patients had the following diagnosesendoparametritis (123), pyelonephritis (29), chorioamnionitis (14), and other (10). No deaths, clinical evidence of septic shock, or cases of postinfection endocarditis were found. The most common bloodstream isolates were Escherichia coli (57), group B streptococcus (28), and Bacteroides sp (26). The patients with endoparametritis had a fever index of 86.2 ± 47.1Fhours, an average hospital stay of 6.5 ± 3.1 days, a 7.3% rate of complications, and a 19.5% rate of failure of primary antibiotics. The patients with chorioamnionitis had a fever index of 32.7 ± 48.9F-hours and an average hospital stay of 4.8 ± 2.3 days. These clinical measures are comparable with those in the general population with the same diagnoses at the authorsʼ hospital. In this obstetric population, prompt, vigorous treatment rendered the clinical course of bacteremic patients with genital infections remarkably similar to that of nonbacteremic patients with the same kinds of infection.</abstract><cop>United States</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>7301239</pmid><tpages>5</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0029-7844
ispartof Obstetrics and gynecology (New York. 1953), 1981-11, Vol.58 (5), p.621-625
issn 0029-7844
1873-233X
language eng
recordid cdi_proquest_miscellaneous_73727964
source MEDLINE; Journals@Ovid Complete
subjects Adolescent
Adult
Anti-Bacterial Agents - therapeutic use
Bacteria - isolation & purification
Endometritis - complications
Female
Humans
Length of Stay
Middle Aged
Parametritis - complications
Pregnancy
Pregnancy Complications, Infectious - diagnosis
Puerperal Infection - complications
Pyelonephritis - complications
Sepsis - diagnosis
Sepsis - drug therapy
Sepsis - microbiology
title Bacteremia in Obstetrics: Clinical Course
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T22%3A29%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Bacteremia%20in%20Obstetrics:%20Clinical%20Course&rft.jtitle=Obstetrics%20and%20gynecology%20(New%20York.%201953)&rft.au=BLANCO,%20JORGE%20D&rft.date=1981-11&rft.volume=58&rft.issue=5&rft.spage=621&rft.epage=625&rft.pages=621-625&rft.issn=0029-7844&rft.eissn=1873-233X&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E73727964%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=73727964&rft_id=info:pmid/7301239&rfr_iscdi=true