ROLE OF THE MICROFLORA FROM THE CERVICAL CANAL OF PURPERANT WOMEN IN THE EARLY PUERPERIUM IN THE DEVELOPMENT OF POSTPARTUM ENDOMETRITIS
- Authors: Karimova G.N.1, Muravieva V.V.1, Priputnevich T.V.1, Shmakov R.G.1
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Affiliations:
- Issue: No 11 (2016)
- Pages: 71-78
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247797
- ID: 247797
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Abstract
Objective. To establish whether there is a possible relationship between the excretion of opportunistic microorganisms (OMs) from the cervical canal in patients and the development of postpartum endometritis. Subjects and methods. 117 patients admitted to the V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, for delivery in the period January 1, 2012 to August 30, 2015 were examined. Cervical canal discharge was sampled from all the women for microbiological examination on day 3 after birth. Results. There were statistically significant increases in the duration of labor and anhydrous period, urinary tract infections, more frequent manual examination of the postpartum uterus in women with PE (p < 0.05). Microbiological study established that the most frequent types of OMs were: E. coli [53 (45.3%)], E.faecalis [38 (32.5%)], S. anginosus [26 (22.2%)], S. agalactiae [13 (11.1%)], and G. vaginalis [12 (10.3%)]. There were no significant differences in the nature of the microflora on day 3 day postpartum (in the species-specific composition of OMs, the degree of contamination, and associative relationships) in the comparison groups. Conclusion. The absence of significant differences in the nature of the microflora in the comparison groups casts any doubt on the prognostic value of microbiological screening of the cervical canal microflora on 3 days after birth in the development of PE. It is appropriate to perform selectively a microbiological examination of cervical canal discharge in the early postpartum period, focusing on patients with a family obstetric history at risk for infectious complications and on those with reduced immune parameters.
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About the authors
G. Nasibullaevna Karimova
Email: galiya.karimova.2014@mail.ru. g_karimova@oparina4.ru
postgraduate student, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4
V. Vasil'evna Muravieva
Email: v_muravieva@oparina4.ru
Senior Researcher, Laboratory of Microbiology, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4
T. Valer'evna Priputnevich
Email: t_priputnevich@oparina4.ru
MD, Head of Microbiology and Clinical Pharmacology Department, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4
R. Georgievich Shmakov
Email: r_shmakov@oparina4.ru
PhD, the head physician of Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4
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