BACTEREMIA IN OBSTETRICS - CLINICAL COURSE

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  • 1 January 1981
    • journal article
    • research article
    • Vol. 58  (5) , 621-625
Abstract
Documented cases of bacteremia in obstetric patients between 1975-1979 were reviewed with emphasis on the clinical course. The incidence of bacteremia was 7.5:1000 obstetric admissions and 9.7% of those patients sampled. Bacteremic obstetric patients (176) had the following diagnoses: endoparametritis (123), pyelonephritis (29), chorioamnionitis (14) and other (10). No deaths, clinical evidence of septic shock or cases of postinfection endocarditis were found. The most common bloodstream isolates were Escherichia coli (57), group B Streptococcus (28) and Bacteroides sp. (26). The patients with endoparametritis had a fever index of 86.2 .+-. 47.1 .degree. F-h, an average hospital stay of 6.5 .+-. 3.1 days, a 7.3% rate of complications and a 19.5% rate of failure of primary antibiotics. The patients with chorioamnionitis had a fever index of 32.7 .+-. 48.9 .degree. F-h and an average hospital stay of 4.8 .+-. 2.3 days. These clinical measures are comparable with those in the general population with the same diagnoses. In this obstetric population, prompt, vigorous treatment rendered the clinical course of bacteremic patients with genital infections remarkably similar to that of nonbacteremic patients with the same kinds of infection.

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