Cervical Bacterial Colonization In Women With Preterm Labor Or Premature Rupture Of Membranes [colonização Bacteriana Do Canal Cervical Em Gestantes Com Trabalho De Parto Prematuro Ou Ruptura Prematura De Membranas]

dc.creatorLajos G.J.
dc.creatorPassini Jr. R.
dc.creatorNomura M.L.
dc.creatorAmaral E.
dc.creatorPereira B.G.
dc.creatorMilanez H.
dc.creatorParpinelli M.A.
dc.date2008
dc.date2015-06-30T19:26:17Z
dc.date2015-11-26T14:31:57Z
dc.date2015-06-30T19:26:17Z
dc.date2015-11-26T14:31:57Z
dc.date.accessioned2018-03-28T21:35:19Z
dc.date.available2018-03-28T21:35:19Z
dc.identifier
dc.identifierRevista Brasileira De Ginecologia E Obstetricia. , v. 30, n. 8, p. 393 - 399, 2008.
dc.identifier1007203
dc.identifier10.1590/S0100-72032008000800004
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-54949115477&partnerID=40&md5=0eb0f56f8c41165d2175c0072adc4045
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/106212
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/106212
dc.identifier2-s2.0-54949115477
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1247490
dc.descriptionPURPOSE: to study cervical colonization in women with preterm labor or premature rupture of membranes. METHODS: two hundred and twelve pregnant women with preterm labor or premature rupture of membranes were studied. Two cervical samples from each woman were collected and bacterioscopy and culture were performed. Association of cervical microorganisms and urinary tract infection, chorioamnionitis, fetal stress, antibiotic use, prematurity, neonatal infection, and neonatal death were evaluated. RESULTS: the prevalence of endocervical colonization was 14.2% (CI95%=9.5-18.9%), with similar results in preterm labor or premature rupture of membranes. Group B streptococcus was the most prevalent organism (9.4%). Other organisms isolated were Candida sp, Streptococcus sp, Streptococcus pneumoniae, Escherichia coli and Enterococcus sp. The most common findings of bacterioscopy were a reduced number of lactobacilli and a great number of leukocytes. Endocervical colonization was associated with a higher occurrence of urinary tract infection (23.8 versus 5.4%; p<0.01), early-onset neonatal infection (25.0 versus 7.3%; p<0.01) and neonatal mortality (two cases in colonized women; p<0.02) when compared with a negative culture of endocervical mucus. CONCLUSIONS: this study showed high prevalence of endocervical colonization despite the use of a nonselective culture media. The main microorganism isolated was group B streptococcus, but other organisms were present in one third of the studied population. More studies are needed to evaluate the influence of endocervical colonization on obstetrical outcome and on neonatal infection and mortality.
dc.description30
dc.description8
dc.description393
dc.description399
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dc.languagept
dc.publisher
dc.relationRevista Brasileira de Ginecologia e Obstetricia
dc.rightsaberto
dc.sourceScopus
dc.titleCervical Bacterial Colonization In Women With Preterm Labor Or Premature Rupture Of Membranes [colonização Bacteriana Do Canal Cervical Em Gestantes Com Trabalho De Parto Prematuro Ou Ruptura Prematura De Membranas]
dc.typeArtículos de revistas


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