Pregnancy after 24 Postoperative Months of Roux-En-Y Gastric Bypass Presents Risk of Pregnancy Complications Similar to Pregnancy within the First Postoperative Year

2019 ◽  
Vol 75 (1) ◽  
pp. 24-30 ◽  
Author(s):  
Sabrina Cruz ◽  
Andrea Matos ◽  
Suelem Cruz ◽  
Silvia Pereira ◽  
Carlos Saboya ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Urinary Tract Infection ◽  
Retrospective Study ◽  
Birth Weight ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnancy Complications ◽  
The Other ◽  
Time Interval

Background: To assess the influence of the time interval between pregnancy and the Roux-en-Y gastric bypass (RYGB) on maternal-infant complications. Methods: This is an analytical, longitudinal and retrospective study comprising 42 pregnant women who had previously undergone RYGB, subdivided according to the time interval between pregnancy and bariatric surgery: ≤12 months (G1), >12 and <24 months (G2) and ≥24 months (G3). Anthropometric variables of mothers, newborns and information on pregnancy complications were collected. Results: G1 was the group more likely to develop urinary tract infection, dumping syndrome and inadequacy of birth weight than G2. Pregnancy complications were similar and >80.0% both in the first 12 months and after 24 months of the RYGB and the smallest percentages occurred in the time interval of 12–24 months after it. In addition, the percentage of neonatal complications was the highest in G1 when compared to the other times studied. Conclusion: Our findings indicate less predisposition to maternal-infant complications in pregnancies occurring in the time interval of >12 and <24 months and suggest that pregnancy after 24 months can be as harmful as pregnancies occurring before the first 12 postoperative months, since a great catabolism occurs at this time as it has been shown in the literature.

Candida nivariensis Urinary Tract Infection in an Extremely Low-Birth-Weight Neonate

2018 ◽  
Vol 15 (01) ◽  
pp. 057-060
Author(s):  
Katherine M. Malloy ◽  
Kristen R. Nichols ◽  
Anna E. Thomas
Keyword(s):  
Urinary Tract Infection ◽  
Birth Weight ◽  
Urinary Tract ◽  
Tract Infection ◽  
Low Birth Weight ◽  
Pediatric Population ◽  
Extremely Low Birth Weight ◽  
Birth Weight Neonate ◽  
Amphotericin B Deoxycholate ◽  
Candida Nivariensis

AbstractWe report on the diagnosis and treatment of a Candida nivariensis urinary tract infection in an extremely low-birth-weight neonate. The isolate was identified by MALDI-TOF technology and is the first known report of C. nivariensis in the neonatal or pediatric population. Treatment was initiated with amphotericin B deoxycholate and later completed with intravenous fluconazole following susceptibility results.

scholarly journals Use of Sexually Explicit Materials as Sex Education Tools to Reduce the Number of Recurrences of Urinary Tract Infection in Sexually Active Women

2020 ◽  
Vol 2 (2) ◽  
pp. 146-151
Author(s):  
Gajanan Shripad Bhat ◽  
Anuradha Shastry
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Sexual Intercourse ◽  
Sex Education ◽  
The Other ◽  
Sexual Practices ◽  
Sexually Active ◽  
Post Intervention ◽  
Sexually Explicit

Context: As sexual intercourse is a known risk factor for recurrent urinary tract infection (UTI) in women, we decided to evaluate a novel method of sex education using sexually explicit materials (SEM) to reduce the number of recurrences of UTI in sexually active women, when the other preventive measures fail to reduce the number of recurrences of UTI in these women. Methods: After obtaining written informed consent and ethical committee approval, sexually active women with a single sexual partner, who presented for recurrent symptomatic UTI following sexual intercourse, were included in this study. The absence of recurrence for 6 months, successful postcoital drug prophylaxis, the presence of comorbidities, anatomical abnormalities of the genitourinary tract (GUT), history of instrumentation of GUT, and use of contraception were exclusion criteria. Their demographic profile, socioeconomic status, imaging studies, pre- and post-intervention urine culture profile and pre- and post-intervention sexual practices were recorded. During every visit, all these women along with their male partners were given sex education sessions about healthy sexual practices using SEM. Data is analyzed. Results: Study period was January 2012 to June 2018. A total of 107 women with the mean age of 30.11 years were included in the study. A total of 82% of UTI were due to Escherichia coli, whereas the other cases were attributable to Klebsiella, Proteus, and Staphylococcus saprophyticus. Their preintervention yearly incidence of documented UTI was 4.04 episodes which reduced to 1.91 episodes post intervention. Conclusions: Sex education with SEM can be an option to treat recurrent UTI in sexually active women.

scholarly journals Epidemiology of sepsis and its various characteristics in a tertiary care adult-multidisciplinary ICU in South India: a retrospective study

2020 ◽  
Vol 8 (4) ◽  
pp. 1260
Author(s):  
Hussain Khan Tharappel Jalal ◽  
Teju P. Thomas ◽  
Alfy Ann George ◽  
Hamadan Mohammed
Keyword(s):  
Septic Shock ◽  
Urinary Tract Infection ◽  
Retrospective Study ◽  
Urinary Tract ◽  
Tract Infection ◽  
Sofa Score ◽  
South India ◽  
Tertiary Care ◽  
Organ Involvement ◽  
Common Source

Background: The incidence of sepsis is increasing, especially in elderly populations with more comorbidities. It is now estimated that sepsis is a leading cause of mortality and critical illness worldwide. The Epidemiological data regarding sepsis, septic shock and organ involvement is mainly from western literature. Data from India, especially south India, are less when compared to western data. In this background authors conducted a retrospective study in tertiary care hospital in south India. Objectives of the study was epidemiology of sepsis and its various characteristics in a tertiary care adult-Multi disciplinary ICU in South India.Methods: This study was a retrospective observational study, conducted during the time period of June 2016 and May 2017. The study population was patients above 18 yrs admitted in MDICU with sepsis. The study was conducted in a tertiary care adult -Multidisciplinary ICU in South India. Various characteristics like age group, comorbidities, organ involvement, septic shock, sofa score, need for ventilatory support, RRT support and outcome data was collected.Results: In this study, 497 patients who satisfied the Surviving Sepsis Campaign guidelines were included. The majority of the patients (59.8%) were male; the majority was above 60 yr (range 18 to 92 yr). 76.3% Patients had comorbid disease. Hypertension was the most common co-morbid (62%) followed by diabetes mellitus (51.3%). Chronic Kidney Disease was found in 132 patients (26.6%) and Coronary artery disease in 121 patients (24.3%). 186 patients (46.5%) had single organ involvement 140(35%) patients had 2 organ involvement. 74(18.5%) patients had more than 2 organ involvement. Septic shock was found in 155 patients (31.2%). Renal involvement was the most common organ involvement found in 279 patients(59.9%). Most common source for sepsis was the respiratory system found in 230 patients (46.3%), followed by urinary tract infection in 117 patients (23.5%). The study shows a significant association between SOFA score and mortality (p-value 0.001) 52% of mortality happened in group of patients with SOFA score more than 15 and mortality was 28 % in group with a SOFA score of 10-15.Conclusions: In this retrospective study of sepsis, authors found that the most common source of sepsis was pneumonia (46.3%) followed by urinary tract infection (23.5%). Majority of the patients had one organ involvement (46.5%). Among the organ involvement, Acute Kidney injury was the most common organ involvement (56.1%) followed by septic shock (31.2%) and respiratory support (29.6%). Mortality in this study was higher with higher SOFA score.

Predictors of Postoperative Urinary Tract Infection After Bariatric Surgery

2018 ◽  
Vol 28 (7) ◽  
pp. 1950-1954 ◽  
Author(s):  
Zachary M. Helmen ◽  
Melissa C. Helm ◽  
Joseph H. Helm ◽  
Alexander Nielsen ◽  
Tammy Kindel ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection

scholarly journals Puerperal Sepsis and its Cause in Patan Hospital

2015 ◽  
Vol 10 (1) ◽  
pp. 33-35 ◽  
Author(s):  
B Pradhan ◽  
SS Duwal ◽  
A Singh ◽  
S Bhandary ◽  
L RC ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Tract Infection ◽  
Retrospective Study ◽  
Urinary Tract ◽  
Tract Infection ◽  
Maternal Morbidity ◽  
Puerperal Sepsis ◽  
Obstetrics And Gynaecology ◽  
Maternal Morbidity And Mortality ◽  
Very High

Aims: This study was done to find out morbidity related with puerperal pyrexia/sepsis and its risk factors. Methods: This was retrospective study conducted from January 2011 to December 2012 at Department of Obstetrics and Gynaecology, Patan Hospital, Kathmandu, Nepal. All women who delivered in this hospital within 42 days of delivery with puerperal pyrexia/sepsis diagnosed on clinical examination and relevant investigations were included in the study. Women with malaria, typhoid fever and ??other fever were excluded. The data was recorded in predesigned proforma and analyzed. Results: During this period, there were 122 cases of puerperal pyrexia. Puerperal pyrexia accounted for 6.28% of 1945 admissions. Most of the women were aged between 20-29 years, primiparous and booked cases with absent membranes. The causes of puerperal pyrexia in our study were urinary tract infection (47.5%), wound infection (20.5%), endometritis (19.7%) retained product of conception (8.2%), pyoperitoneum (2.5%) and septicemia (1.6%). Conclusions: Puerperal pyrexia/sepsis is one of the causes of preventable maternal morbidity and mortality though in our study it was not proved to be very high in number. Optimal aseptic measures during labour can prevent most of the cases. 

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