Evaluation of the recurrence and fertility rate following salpingostomy in patients with tubal ectopic pregnancy

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Tahereh Poordast ◽  
Zahra Naghmehsanj ◽  
Razie Vahdani ◽  
Shaghayegh Moradi Alamdarloo ◽  
Mohammad Ali Ashraf ◽  
...  
Keyword(s):  
Tract Infection ◽  
Ectopic Pregnancy ◽  
Genital Tract ◽  
Maternal Age ◽  
Previous History ◽  
Fertility Rate ◽  
Genital Tract Infection ◽  
Cross Sectional ◽  
Tubal Ectopic Pregnancy ◽  
History Of

Abstract Background Ectopic pregnancy is one of the leading causes of pregnancy-related mortality; the treatment strategies associated with this condition entail complications, such as recurrence of ectopic pregnancy or infertility. The objective of this study was to evaluate the recurrence and fertility rate after salpingostomy in patients with tubal ectopic pregnancy. Methods This cross-sectional retrospective study was conducted at four referral centers of Obstetrics and Gynecology, under the supervision of Shiraz University of Medical Sciences (Iran). The medical records of 125 patients with tubal pregnancy were reviewed. These patients underwent laparoscopic salpingostomy from April 2009 to March 2016.Data on maternal age, BMI, history of previous EP, genital tract infection, IUD insertion, history of previous surgery, and infertility were further obtained. The patients were followed up for approximately 1 to 7 years. The recurrence of EP and subsequent pregnancy rate were assessed during the follow-up period. Results There was no statistically significant relationship between post-salpingostomy recurrence and maternal age, previous abdominopelvic surgery, and history of infertility(P = .425); however, the post-salpingostomy recurrence of EP was correlated with BMI (P = 0.001), previous history of EP (P = 0.001), genital tract infection (P = 0.001), and IUD insertion (P = 003). Among 95 women who had no contraception, pregnancy occurred in 51 cases (53.6%) and recurrence of EP was observed in 16 patients (12.8%). Conclusions Our results suggest that salpingostomy is a safe method with a low risk of recurrence and good fertility outcomes for women who consider future pregnancy.

scholarly journals Mycoplasma genitalium: An Emerging Cause of Pelvic Inflammatory Disease

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Catherine L. Haggerty ◽  
Brandie D. Taylor
Keyword(s):  
Tract Infection ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Genital Tract ◽  
Mycoplasma Genitalium ◽  
Genital Tract Infection ◽  
Cross Sectional ◽  
Increased Risk ◽  
Upper Genital Tract Infection

Mycoplasma genitaliumis a sexually transmitted pathogen that is increasingly identified among women with pelvic inflammatory disease (PID). AlthoughChlamydia trachomatisandNeisseria gonorrhoeaefrequently cause PID, up to 70% of cases have an unidentified etiology. This paper summarizes evidence linkingM. genitaliumto PID and its long-term reproductive sequelae. Several PCR studies have demonstrated thatM. genitaliumis associated with PID, independent of gonococcal and chlamydial infection. Most have been cross-sectional, although one prospective investigation suggested thatM. genitaliumwas associated with over a thirteenfold risk of endometritis. Further, a nested case-control posttermination study demonstrated a sixfold increased risk of PID amongM. genitaliumpositive patients. Whether or notM. genitaliumupper genital tract infection results in long-term reproductive morbidity is unclear, although tubal factor infertility patients have been found to have elevatedM. genitaliumantibodies. Several lines of evidence suggest thatM. genitaliumis likely resistant to many frequently used PID treatment regimens. Correspondingly,M. genitaliumhas been associated with treatment failure following cefoxitin and doxycycline treatment for clinically suspected PID. Collectively, strong evidence suggests thatM. genitaliumis associated with PID. Further study ofM. genitaliumupper genital tract infection diagnosis, treatment and long-term sequelae is warranted.

scholarly journals Prevalence and Antimicrobial Susceptibility Pattern of Urinary Tract Infection among Pregnant Women Attending Hargeisa Group Hospital, Hargeisa, Somaliland

2021 ◽  
Author(s):  
Abdikhaliq Hussein Ali ◽  
Dawit Yihdego Reda ◽  
Moges Desta Ormago
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Antimicrobial Susceptibility ◽  
Previous History ◽  
Susceptibility Pattern ◽  
Cross Sectional ◽  
Antimicrobial Susceptibility Pattern ◽  
History Of

Abstract The aim of this study was to determine the prevalence, antimicrobial susceptibility pattern and associated factors of urinary tract infection (UTI) among pregnant women attending Hargeisa Group Hospital (HGH), Hargeisa, Somaliland. A cross-sectional study was conducted at HGH, Hargeisa, Somaliland and participants were selected by systematic random sampling technique. Clean catch midstream urine samples were collected from 422 participants and cultured and antimicrobial susceptibility pattern was determined for the isolates. Univariable and multivariable logistic regression analyses were utilized to identify the independent risk factors for UTI The prevalence of UTI was 16.4 % (95% CI: 13.3–19.9). The predominant bacteria isolate was E. coli (43.5%). Gram negative bacteria were resistant to ampicillin (96%) and tetracycline (71.4%) and Gram-positive bacteria were also resistant to ampicillin (90%), tetracycline (55%). Multidrug resistance was observed in 89.9% of bacterial isolated. No formal education participants were 3.18 times, previous history of catheterization had 3.22 times and previous history of UTI had 3.73 times more likely to develop UTI than their counterparts respectively. Culture and susceptibility test is vital for appropriate management of UTI in the study area.

scholarly journals Urinary Tract Infection (UTI) in uncircumcised infants presenting in the pediatric floor of Faisalabad Medical University.

2020 ◽  
Vol 27 (11) ◽  
pp. 2330-2334
Author(s):  
Muhammad Shamaoon ◽  
Maria Irshad ◽  
Sadia Shabbir ◽  
Misbah Noor ◽  
Bushra Ahmad ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Previous History ◽  
Current Data ◽  
Temperature History ◽  
Ethical Review ◽  
Cross Sectional ◽  
History Of ◽  
Medical University

Circumcision is the commonest surgical procedure carried out on children. After evaluation of currently available studies and clinical trials the health benefits of newborn male circumcision outweigh the risks. Objectives: To determine the frequency of urinary tract infection (UTI) in uncircumcised infants presenting in the pediatric floor of Faisalabad Medical University. Study Design: Descriptive Cross Sectional study. Setting: Pediatric Ward, Emergency and OPD, Allied Hospital, Faisalabad. Period: July 2017 Dec 2017. Material & Methods: After Ethical Review, all male uncircumcised subjects were included with consent from the patients. Data regarding the disease, presenting complaints was collected after complete examination of the child. Age, weight, temperature, history of previous UTI, dysuria, and colour and urine was noted. Urine sample was collected in a sterile container with the help of the parents and sent to the lab for complete examination and culture. Relevant baseline investigation was also sent to the laboratory for examination. Results of the urine complete examination and urine culture were also noted. Results: In this trial, mean age was calculated as 6.81+2.44 months, mean temperature and weight of the infants was recorded as 99.26+1.06F and 7.06+1.85kgs respectively. Frequency of history of dysuria was recorded in 30% (n=30), frequency of previous history of UTI was recorded in 13% (n=13), frequency of UTI was recorded in 25% (n=25). Conclusion: We concluded that the frequency of urinary tract infection (UTI) is higher in uncircumcised infants; however, timely circumcision may reduce the risk of UTI. The current data is primary in our population which needs authentication through some other trials.

scholarly journals Effect of hormonal and copper IUDs on genital microbial colonisation and clinical outcomes in North-Western Nigeria

2017 ◽  
Vol 6 (6) ◽  
pp. 2143
Author(s):  
Abdulhadi D. Saidu ◽  
Karima A. Tunau ◽  
Abubakar A. Panti ◽  
Emmanuel I. Nwobodo ◽  
Yahaya Mohammed ◽  
...  
Keyword(s):  
Tract Infection ◽  
Genital Tract ◽  
Formal Education ◽  
Conclusive Evidence ◽  
Genital Infection ◽  
Genital Tract Infection ◽  
Cross Sectional ◽  
Genital Infections ◽  
Tract Infections ◽  
Copper Iud

Background: Intrauterine devices are one of the popular long term reversible contraceptive methods. Earlier forms were associated with genital infections, however more recent types such copper IUDs and hormonal types have been shown to have better safety profile. However, there is no conclusive evidence to demonstrate that hormonal IUD is less associated with genital infection when compared with copper IUDs. The objectives include determination of prevalence of genital tract infections among IUD users, to determine the type of IUD that is less associated with genital infection, and also determine clinical features seen among IUD users.Methods: We conducted a descriptive, cross sectional study of clients who were at 6 months following IUD insertion. Endocervical and high vaginal samples were taken to isolate microbes.Results: The prevalence of genital tract infection was 20% in Copper IUD users and 8.6% among LNG-IUS users. Genital infection was significantly higher among copper IUD users compared to hormonal IUD users (p=0.038, OR= 2.88). Abnormal vaginal discharge was the commonest symptoms among IUD users and formal education was associated with less risk of genital infections (p=0.048).Conclusions: Hormonal IUDs are less associated with genital tract infection compared to copper IUDs and women with formal education are less likely to have genital infection among IUD users.

scholarly journals The Role of Polymorphonuclear Leukocyte Counts from Urethra, Cervix, and Vaginal Wet Mount in Diagnosis of Nongonococcal Lower Genital Tract Infection

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Ivana Randjelovic ◽  
Amir Moghaddam ◽  
Birgitte Freiesleben de Blasio ◽  
Harald Moi
Keyword(s):  
Tract Infection ◽  
Polymorphonuclear Leukocyte ◽  
Genital Tract ◽  
Ureaplasma Urealyticum ◽  
High Specificity ◽  
Nucleic Acid Amplification ◽  
Genital Tract Infection ◽  
Cross Sectional ◽  
Lower Genital Tract ◽  
Lower Genital Tract Infection

Objective. The aim of this study was to evaluate whether the polymorphonuclear leukocyte (PMNL) inflammatory response in women with nongonococcal lower genital tract infection (LGTI) can be used to optimize criteria for syndromic treatment. Methods. A cross-sectional study of 375 women attending the STI clinic in Oslo. Urethral, cervical, and vaginal specimens underwent microscopy for PMNLs. Chlamydia trachomatis (Ct) and other STIs were detected in the cervical/vaginal swabs and urine, using nucleic acid amplification test (NAAT). After excluding vulvovaginal candidiasis, genital herpes, and trichomoniasis, we correlated clinical and microscopic signs of inflammation with positive NAAT for Ct, mycoplasma genitalium (Mg), and Ureaplasma urealyticum (Uu) in a subgroup of 293 women. Results. To predict a positive Ct, the combination of high cut-off urethritis (≥10 PMNLs/HPF) and microscopic cervicitis had a high specificity of 0.93, a PPV of 0.37, and a sensitivity of 0.35. LGTI criteria had low predicting values for Mg and Uu. Conclusion. Including microscopic criteria for the diagnosis of LGTI gives better indication for presumptive antibiotic treatment than anamnestic and clinical diagnosis alone.

scholarly journals P7: POSTPARTUM DEPRESSION POSITIVE SCREEN PREDICTORS IN A PEDIATRIC ED

2016 ◽  
Vol 64 (3) ◽  
pp. 820.1-820
Author(s):  
L Jarvis ◽  
G Badolato ◽  
K Breslin ◽  
M Goyal
Keyword(s):  
Postpartum Depression ◽  
Maternal Age ◽  
Stressful Life Event ◽  
Previous History ◽  
World Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Positive Screen ◽  
History Of

Purpose of StudyThe World Health Organization (WHO) and Toronto Public Health (TPH) performed a systematic literature review to identify predictors for different risk categories for postpartum depression (PPD). This review did not include patients in the pediatric emergency department (PED) setting. This study determines if the predictors identified in the WHO/TPH review are associated with positive PPD screens in an urban PED.Methods UsedWe performed a prospective, cross-sectional survey of a convenience sample of mothers presenting with low-acuity triage level infants </=six months old to a PED. We calculated frequency of positive PPD screen predictors and performed multivariable logistic regression to identify association with a positive PPD screen.Summary of Results121 mothers were screened for PPD during presentation to the PED with their infant; 27 (22%) screened positive. Adjusting for maternal age, race/ethnicity, and insurance status, WHO/TPH “strong” predictors of a previous history of depression (aOR 6.7; 95% CI 1.6, 28.6), a previous history of anxiety (aOR 16.1; 95% CI 2.1, 125.5), depressed mood or anxiety during this pregnancy (aOR 25.6; 95% CI 6.7, 98.2), a recent stressful life event (aOR 5.4; 95% CI 1.9, 15.2), and lack of social support (report that they did not have someone they could count on to help with the baby; aOR 6.5; 95% CI 1.6, 26.9) were significantly associated with a positive PPD screen. “Moderate” predictors of infant fussiness, (all/most of the time; aOR 8.4; 95% CI 2.0, 35.3) and high levels of childcare stress (all/most of the time; aOR 4.6; 95% CI 1.7, 12.4) were significantly associated with a positive screen. “Small” predictors of quality of relationship with the partner (sometimes vs. all/most of the time having a good relationship with the partner; aOR 3.8; 95% CI 1.0, 6.3) was significantly associated; obstetric and pregnancy complications and socioeconomic status were not significantly associated. Our study was consistent with the WHO/TPH review which found no association of PPD with ethnicity, maternal age, education level, parity, or gender of the child.ConclusionsResults in this urban PED are largely consistent with WHO/TPH predictors of PPD developed in other settings. Understanding PPD predictors can help physicians to improve screening and identification of PPD positive mothers.

scholarly journals Vaginal Carriage of Chlamydia Trachomatis and Other Sexually Transmissible Pathogens Among Adolescents in Nigeria

2019 ◽  
pp. 1
Author(s):  
Felix Emele Emele ◽  
Nneka Regina Agbakoba ◽  
Chiamaka Princewill Chukwuka ◽  
Charlotte Oguejiofor
Keyword(s):  
High School ◽  
Chlamydia Trachomatis ◽  
Tract Infection ◽  
Genital Tract ◽  
Gardnerella Vaginalis ◽  
Pcr Analysis ◽  
Genital Tract Infection ◽  
Cross Sectional ◽  
High School Girls ◽  
School Girls

<p><strong>Objectives:</strong> Chlamydia trachomatis remains a major cause of genital tract infection and can cause undesirable consequences, such as female infertility. Adolescent girls are physiologically more vulnerable to genital tract infection than older women and need regular screening for genital pathogens. We, therefore, saw the need to screen teenage high school girls in the Anambra State of Nigeria for Chlamydia trachomatis and other potential urogenital pathogens.</p><p><strong>Study design:</strong> This was a Cross sectional study involving 100 randomly selected high school girls, aged 13-18 years, who consented to the study. High vaginal swab samples were collected from the subjects and were analyzed microbiologically; genomic DNA was extracted from each specimen and subjected to PCR analysis. Semi-structured, pre-tested, questionnaires were used to collect relevant bio-data from the participants. The results were analyzed using Chi-square test and percentages.</p><p><strong>Results:</strong> Of the 100 girls, 47(47%) harbored sexually transmissible pathogens in the vagina. Overall, sixty five different kinds of potential urogenital pathogens were recovered, some in co-infection. Organisms represented were as follows: Chlamydia trachomatis, 4(4%); genital Mycoplasmas, 10(10%); Ureaplasmas, 10(10%); Gardnerella vaginalis, 10(10%); and Candida 31(31%). Majority of the girls sought medical treatment from sources other than the hospitals (X2 = 75.9017; p&lt; 0.05).</p><p><strong>Conclusion:</strong> Results showed that sexually transmitted pathogens were common in the high school girls, and alerts of the need for regular vaginal screening and proper medical enlightenment of the adolescents.</p>

scholarly journals Ectopic pregnancy in a tertiary care centre of Jharkhand, India

2019 ◽  
Vol 8 (8) ◽  
pp. 2969
Author(s):  
Meetali Parashar ◽  
Meena Mehta
Keyword(s):  
Ectopic Pregnancy ◽  
Clinical Presentation ◽  
Previous History ◽  
First Trimester ◽  
Near Miss ◽  
Obstetrics And Gynaecology ◽  
Maternal Morbidity And Mortality ◽  
History Of ◽  
Β Hcg ◽  
A Prospective Study

Background: Ectopic pregnancy is one in which the fertilized ovum is implanted and develops outside the endometrial cavity. It is an important cause of maternal morbidity and mortality in first trimester. The present study was conducted to study the risk factors, clinical presentation and management of ectopic pregnancy in RIMS, Ranchi, Jharkhand, India.Methods: This was a prospective study conducted in the department of obstetrics and gynaecology, RIMS, Ranchi, Jharkhand during May 2017 to September 2018. A total of 90 cases were included in the study.Results: 80% of the patients presented with amenorrhoea, 98% had abdominal pain and 69% had vaginal bleeding. Ultrasonography revealed hemoperitoneum in about 93% patients. 16 (18%) patients had history of infertility whereas 10 patients (11%) had taken treatment of infertility.6 (7%) patients had history of STD or PID.14 (16%) had undergone bilateral tubectomy.2 (2%) had history of IUCD insertion and 12 (13%) patients had undergone previously lscs. 54 patients (60%) had undergone D and C and 6 patients (7%) had a previous history of ectopic pregnancy. 68 (76%) underwent only salpingectomy.12 (13%) had salpingo-oophorectomy and 10 (11%) had salpingectomy with contralateral tubectomy.Conclusions:Diagnosis of ectopic pregnancy requires clinical suspicion and supportive investigations like UPT, ultrasonography, β HCG and laparoscopy. It is an important cause of admission to RIMS as maternal near miss cases.Background: Ectopic pregnancy is one in which the fertilized ovum is implanted and develops outside the endometrial cavity. It is an important cause of maternal morbidity and mortality in first trimester. The present study was conducted to study the risk factors, clinical presentation and management of ectopic pregnancy in RIMS, Ranchi, Jharkhand, India.Methods: This was a prospective study conducted in the department of obstetrics and gynaecology, RIMS, Ranchi, Jharkhand during May 2017 to September 2018. A total of 90 cases were included in the study.Results: 80% of the patients presented with amenorrhoea, 98% had abdominal pain and 69% had vaginal bleeding. Ultrasonography revealed hemoperitoneum in about 93% patients. 16 (18%) patients had history of infertility whereas 10 patients (11%) had taken treatment of infertility.6 (7%) patients had history of STD or PID.14 (16%) had undergone bilateral tubectomy.2 (2%) had history of IUCD insertion and 12 (13%) patients had undergone previously lscs. 54 patients (60%) had undergone D and C and 6 patients (7%) had a previous history of ectopic pregnancy. 68 (76%) underwent only salpingectomy.12 (13%) had salpingo-oophorectomy and 10 (11%) had salpingectomy with contralateral tubectomy.Conclusions: Diagnosis of ectopic pregnancy requires clinical suspicion and supportive investigations like UPT, ultrasonography, β HCG and laparoscopy. It is an important cause of admission to RIMS as maternal near miss cases.

Malaria among migrants in a university hospital in Colombia during 2018: A case series

2020 ◽  
pp. 004947552098130
Author(s):  
Fabián R Carreño-Almánzar ◽  
Adán Coronado-Galán ◽  
Sonia A Cala-Gómez ◽  
Agustín Vega-Vera
Keyword(s):  
Latin American ◽  
Previous History ◽  
Case Series ◽  
Cross Sectional Study ◽  
Imported Malaria ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
History Of ◽  
Clinical Profiles

Imported malaria has increased in Colombia since 2015 and has been attributed to migrants coming from Venezuela. We present a series of malaria cases, nested in a retrospective cross-sectional study between 2017 and 2018, aimed at calculating the prevalence of medical diseases among immigrants in a University Hospital in Colombia. Among 154 immigrants admitted for medical causes between 2017 and 2018, 8 were diagnosed with malaria, all due to Plasmodium vivax. Of these, seven had uncomplicated malaria, five had a previous history of malaria, one was critically ill, but none died. We highlight that, similar to other case series of imported malaria, Latin American migrants were young, with similar clinical profiles, having a low proportion of severe cases, and P. vivax was the most frequent cause.

scholarly journals Analysis of Sociodemographic and Clinical Factors Associated with Hospitalized Stroke Patients of Bangladesh

1970 ◽  
Vol 6 (1) ◽  
pp. 19-23 ◽  
Author(s):  
AM Hossain ◽  
NU Ahmed ◽  
M Rahman ◽  
MR Islam ◽  
G Sadhya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Ischaemic Heart Disease ◽  
Low Income ◽  
Heart Diseases ◽  
Previous History ◽  
Stroke Patients ◽  
College Hospital ◽  
Cross Sectional ◽  
History Of

A hospital based cross sectional study was carried out to analyze prevalence of risk factors for stroke in hospitalized patient in a medical college hospital. 100 patients were chosen using purposive sampling technique. Highest incidence of stroke was between the 6th and 7th decade. Patients came from both urban (54%) and rural (46%) areas and most of them belong to the low-income group (47%). In occupational category; service holder (28%) and retired person (21%) were the highest groups. Most of the study subjects were literate (63%). CT scan study revealed that the incidence of ischaemic stroke was 61% and haemorrhagic stroke 39%. Analysis indicated hypertension as major risk factor for stroke (63%) and major portion of the patients (42.85%) were on irregular or no treatment. Twenty four percent of the patients had heart diseases and out of 24 patients 45.83% were suffering from ischaemic heart disease. The present study detected diabetes in 21% patients. Fifty three percent of the study subjects were smoker, 39% patients had habit of betelnut chewing. Out of 26 female patients, only 23% had history of using oral contraceptives. Majority of the patients were sedentary workers (46%). Thirty seven percent of the stroke patients were obese. Among the stroke patients 9% had previous history of stroke and 3% had TIA respectively. Most of the patients (21%) were awake while they suffered from stroke and the time of occurrence was mostly in the afternoon (46%). This study found that hypertension, cigarette smoking, ischaemic heart disease and diabetes mellitus are the major risk factors prevalent in our community while other risk factors demand further study. Key words: stroke; risk factors; hospitalized patients; Bangladesh. DOI: 10.3329/fmcj.v6i1.7405 Faridpur Med. Coll. J. 2011;6(1): 19-23

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