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An assessment of pre‐operative microbial screening on the prevention of post‐abortion pelvic inflammatory disease
Author(s) -
MILLS ANGELA M.
Publication year - 1984
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1984.tb05904.x
Subject(s) - medicine , pelvic inflammatory disease , neisseria gonorrhoeae , pelvic infection , abortion , obstetrics , ampicillin , gynecology , pregnancy , gonorrhea , genital tract , sex organ , family planning , physiology , population , antibiotics , immunology , research methodology , biology , genetics , environmental health , human immunodeficiency virus (hiv) , microbiology and biotechnology
summary Five hundred women were examined for lower genital tract infection before vaginal termination of pregnancy. Pre‐operatively, Neisseria gonorrhoeae was isolated from nine women (1–8%); five of eight male partners also had gonorrhoea. All the women with gonorrhoea were treated at least 48 h pre‐operatively with ampicillin and probenicid; three of them had symptoms of pelvic infection pre‐operatively and one had symptoms postoperatively. Of these women, 120 (24%) had a follow‐up examination within 47 days of abortion; 15 (3%) required an evacuation of retained products of conception and only 12 (2%) had mild suspected pelvic infection. Screening for Neisseria gonorrhoeae and treatment pre‐operatively prevented pelvic infection in a further eight patients.