Postpartum infection in relation to maternal characteristics, obstetric interventions and complications

2018 ◽  
Vol 46 (3) ◽  
pp. 271-278 ◽  
Author(s):  
Daniel Axelsson ◽  
Jan Brynhildsen ◽  
Marie Blomberg
Keyword(s):  
Body Mass Index ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Wound Infections ◽  
Maternal Characteristics ◽  
Diagnosis Codes ◽  
Obstetrical Interventions ◽  
Swedish Medical ◽  
Medical Health ◽  
Health Registers

Abstract The purpose was to evaluate the association between maternal characteristics, obstetrical interventions/complications and postpartum wound infections (WI), urinary tract infection (UTI) and endometritis. Furthermore, this study aimed to determine the time from delivery to onset of infections after discharge from the hospital. Three large Swedish Medical Health Registers were scrutinized for the period 2005–2012. A total of 582,576 women had 795,072 deliveries. Women with diagnosis codes for WIs, UTIs or endometritis, from delivery to 8 weeks postpartum, were compared to non-infected women. Adjusted odds ratios (OR) and 95% confidence intervals (CI) were estimated. Increasing age and body mass index (BMI) were both associated with increasing prevalence of postpartum infections. WIs were most strongly associated with cesarean section (CS) (OR 17.2; 95%CI 16.1–18.3), 3rd and 4th degree tears (OR 10.7%; 95%CI 9.80–11.9) and episiotomy (OR 10.2; 95%CI 8.94–11.5). Endometritis was associated with anemia (OR 3.16; 95%CI 3.01–3.31) and manual placental removal (OR 2.72; 95%CI 2.51–2.95). UTI was associated with emergency CS (OR 3.46; 95%CI 3.07–3.89) and instrumental delivery (OR 3.70; 95%CI 3.29–4.16). For women discharged from the delivery hospital the peak occurrence of UTI was 6 days postpartum, while for WIs and endometritis it was 7 days postpartum.

Detection of tox A gene in Pseudomonas aeruginosa that isolates from different clinical cases by using PCR.

2018 ◽  
pp. 26
Author(s):  
Rana M. Abdullah Al-Shwaikh ◽  
Abbas Falih Alornaaouti
Keyword(s):  
Molecular Weight ◽  
Pseudomonas Aeruginosa ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Otitis Media ◽  
Urinary Tract Infections ◽  
Gel Electrophoresis ◽  
Wound Infections ◽  
Tract Infections

       Current study obtained (75) isolate of Pseudomonas aeruginosa collected from different cases included : 28 isolates from otitis media, 23 isolates from burn infections, 10 isolates from wound infections, 8 isolates from urinary tract infections and 6 isolates from blood, during the period between 1/9/2014 to 1/11/2014        The result revealed that the tox A gene was present in 54 isolates (72%) of Pseudomonas aeruginosa. The gel electrophoresis showed that the molecular weight of tox A gene was 352 bp. The result shows 17 isolates (60.71%) from otitis media has tox A gene, 18 isolates (78.26%) from burn followed by 8 isolate (80%) from wound infection and 5 isolates (62.5%) from urinary tract infection , finally 6 isolates (100%) from blood have this gene.

scholarly journals Determination of the frequency of carbapenemase producing Klebsiella pneumoniae isolates in Dhaka city, Bangladesh

2013 ◽  
Vol 2 (1) ◽  
pp. 28-30 ◽  
Author(s):  
Nawshad Hayder ◽  
Zahidul Hasan ◽  
Sadia Afrin ◽  
Rashed Noor
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Klebsiella Pneumoniae ◽  
Respiratory Diseases ◽  
High Morbidity ◽  
Wound Infections ◽  
Dhaka City ◽  
Carbapenem Resistant ◽  
Global Health Problem

Resistance of Klebsiella pneumoniae against carbapenem, imparted by the presence of carbapenemase, is an emerging global health problem with high morbidity and mortality. Thus, the present study attempted to detect the frequency of carbapenemase producing K. pneumoniae in Dhaka city of Bangladesh and thereby determine the health risk associated with their presence. A total of 647 K. pneumoniae isolates were detected from 2800 patients with urinary tract infection, bacterimia, wound infections and respiratory diseases. Thirty one carbapenem resistant isolates were found to harbor K. pneumoniae carbapenemase (KPC) through modified Hodge test. The KPC positive isolates were then subjected to the study of antibiogram and showed resistance against all the ß-lactam antibiotics along with carbapenems, while they were sensitive against colistin. Additionally, 287 isolates were found to be extended-spectrum ?-lactamases (ESBLs) positive apart from the KPC positive ones. DOI: http://dx.doi.org/10.3329/sjm.v2i1.15210 Stamford Journal of Microbiology, Vol.2(1) 2012: 28-30

scholarly journals Association Between Body Mass Index and Urinary Tract Infection in Adult Patients

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammad Nassaji ◽  
Raheb Ghorbani ◽  
Mohammad Reza Tamadon ◽  
Masomeh Bitaraf
Keyword(s):  
Body Mass Index ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Body Mass ◽  
Adult Patients

THE EFFECT OF INCREASING BODY MASS INDEX ON URINARY TRACT INFECTION

2009 ◽  
Vol 181 (4S) ◽  
pp. 141-142
Author(s):  
Michelle J Semins ◽  
Andrew D Shore ◽  
Kimberley Steele ◽  
Martin A Makary ◽  
Brian R Matlaga
Keyword(s):  
Body Mass Index ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Body Mass

scholarly journals Klebsiella pneumoniae associated nosocomial meningitis in a patient after resection of meningioma.

2015 ◽  
Vol 13 (1) ◽  
pp. 46-48
Author(s):  
Sabita Bhatta ◽  
Raina Chaudhary ◽  
Dhirendra Ayer
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Klebsiella Pneumoniae ◽  
Liver Abscess ◽  
Nosocomial Infections ◽  
Wound Infections ◽  
Healthy Individuals ◽  
Nosocomial Meningitis ◽  
Tract Infections

Klebsiella pneumoniae is a primary pathogen capable of causing urinary tract infection (UTIs), liver abscess and pneumonia in otherwise healthy individuals. However, most infections caused by K. pneumoniae are acquired in the hospitals and/or occur in those who are debilitated by various under lying conditions. Nosocomial infections caused by K. pneumoniae includes wound infections, infections of intravascular and other invasive devices, biliary tract infections, peritonitis and meningitis. We report a case of a 29 year old male who developed meningitis after excision of meningioma.doi: http://dx.doi.org/10.3126/mjsbh.v13i1.13004   

scholarly journals 127. A Retrospective Review of Antibiotic Appropriateness for Urinary Tract Infections in Ambulatory Patients

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S76-S76
Author(s):  
Kendall Donohoe ◽  
Kimberly D Boeser
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Health System ◽  
Urinary Tract Infections ◽  
Drug Class ◽  
Joint Commission ◽  
Academic Health ◽  
Diagnosis Codes ◽  
Tract Infections

Abstract Background The Centers for Disease Control and Prevention and the Joint Commission recommend establishing antibiotic stewardship in outpatient settings. Previous studies estimate over half of all antibiotic prescriptions in the outpatient setting for any indication are inappropriate. Urinary tract infections present a key stewardship opportunity, as most fluoroquinolones prescribed for acute uncomplicated cystitis are potentially inappropriate and many safety concerns exist for this drug class. This study evaluates the outpatient antimicrobial prescribing practices for cystitis and other urinary tract infections at ambulatory clinics within a health system. Methods This retrospective cohort study includes adults treated for cystitis or urinary tract infection at 60 primary care and 21 specialty clinics within a large academic health system over a three-year period. Diagnosis codes and individual chart review were used to collect data. The primary outcome is the proportion of patients prescribed antibiotics for urinary tract infection who received a fluoroquinolone. Results Of 22,099 encounters which included one of the diagnosis codes indicative of cystitis, an antibiotic was prescribed in 19,101 (86%). Among the encounters in which an antibiotic was prescribed, 29.1% included a fluoroquinolone prescription. A subset of 100 patients from this population were reviewed and assessed for appropriateness based on symptoms, comorbidities, allergies, and previous urinary isolates. The prescribed drug class was determined appropriate in 40% of the fluoroquinolone cases and in 80% of the nitrofurantoin or sulfamethoxazole/trimethoprim cases. Conclusion Potential strategies that may reduce the inappropriate prescribing of fluoroquinolones in our large academic health system include an EHR alert, regular dissemination of prescriber reports, and additional provider education to facilitate shared decision-making. These results provide a baseline to inform future interventions to reduce inappropriate antibiotic prescribing and to ensure compliance with Joint Commission standards. Disclosures All Authors: No reported disclosures

Sign in / Sign up

Export Citation Format

Share Document