The prediction of an infection risk and the way to prevent postpartum endometritis in puerperas at risk for infections


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Abstract

Objective. To reduce the rate of postpartum endometritis (PE) in puerperas at risk for infection. Subject and methods. One hundred and seventeen puerperas at risk for infection were divided into 2 groups: 1) 49 patients who were administered a formed sorbent intrauterinally in addition to antibiotic prevention in the postpartum period (a study group) and 2) 68 patients who received traditional antibiotic prophylaxis only (a comparison group). Resu1ts. Examination of the microflora in the birth canal established the leading role of the high antibiotic-resistant gram-positive microflora. There was T-lymphocyte tension, lower immunoregulatory index, and enhanced activity of proinflammatory cytokines. After traditional antibiotic prophylaxis, the pathogenic microflora was retained in the uterine cavity in more than 50%, so did the high activity of local proinflammatory cytokines. Conclusion. The proposed way to prevent PE, by intrauterinally administering the formed sorbent, is more effective than the traditional approach.

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About the authors

Julia Igorevna Tirskaya

Omsk State Medical Academy, Ministry of Health of the Russia

Email: yulia.tirskaya@yandex.ru
MD, PhD in Medicine, associated professor in the Department of Obstetrics and Gynecology № 2

Sergey Vladimirovich Barinov

Omsk State Medical Academy, Ministry of Health of the Russia

Email: barinov_omsk@mail.ru
MD, DSc in Medicine, professor, Head of the Department of Obstetrics and Gynecology № 2

Tatyana Ivanovna Dolgikh

Omsk State Medical Academy, Ministry of Health of the Russia

Email: dolgih-ti@mail.ru
MD, D.Sc. in Medicine, professor, Head of the Central Scientific Research Laboratory

Lydia Georgievna P’yanova

Federal state budgetary establishment of a science institute of problems of processing of hydrocarbons of the Siberian branch of the Russian Academy of Sciences

Email: medugli@rambler.ru
MD, PhD in Biol.Sci., senior research

Andrey Kirillovich Chernyshev

Omsk State Medical Academy, Ministry of Health of the Russia

Email: dr-chak@mail.ru
MD, D.Sc. in Medicine, professor of the Department of children’s surgery

Julia Anatolevna Kovaleva

Regional Clinical Hospital

Email: www.okb-omsk.ru
the obstetrician-gynecologist doctor of the department of pathology of pregnancy Omsk, Russia

Denis Vladimirovich Korneev

State Research Center of Virology and Biotechnology The Vector

Email: lenryab@vector.nsc.ru
the research assistant of department of microscopic researches

Inna Vasilevna Shamina

Omsk State Medical Academy, Ministry of Health of the Russia

Email: innadocsever@rambler.ru
MD, PhD in Medicine, associated professor in the Department of Obstetrics and Gynecology № 2

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