Bacteremia induzida pelo trabalho de parto: cabe a profilaxia da endocardite infecciosa? / Bacteremia induced by labor: is prophylaxis for infective endocarditis necessary?
Arq. bras. cardiol
;
62(2): 91-94, fev. 1994. tab
Article
Dans Portugais
| LILACS
| ID: lil-148967
RESUMO
PURPOSE--To characterize the occurrence of bacteremia during delivery and to verify the necessity of prophylaxis against infective endocarditis. METHODS--The authors collected hemoculture of 100 women, 15,30 and 45 minutes after delivery. The data were collected from May 1992 until May 1993. The positive hemocultures were followed by antibiogram. RESULTS--Seven hemocultures were positive six for Staphylococcus, one for Candida sp, Penicilium sp, Clandosporum sp and Aspergillus sp that were found in association. Four patients had prematures amniorrhexis, longer than 6 hours before delivery (p < 0.05). Six patients had labor longer than 6 hours after admission (p < 0.05). The authors did not observe differences related to vaginal delivery with or without forceps or cesarean section. The samples were all sensible to cefalotin at the antibiogram. CONCLUSION--Labor and delivery is a high risk procedure for bacteremia and so for ineffective endocarditis in susceptible patients. The statistical analysis recognize as risk factors labor longer than 6 hours inside the hospital and premature amniorrhexis. We propose the use of intravenous cefalotin 1g 60 minutes before expulsion and repeated 6 and 12 hours later
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Travail obstétrical
/
Bactériémie
/
Endocardite bactérienne
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
/
Facteurs de risque
Limites du sujet:
Adolescent
/
Adulte
/
Femelle
/
Humains
/
Mâle
/
Grossesse
Pays comme sujet:
Amérique du Sud
/
Brésil
langue:
Portugais
Texte intégral:
Arq. bras. cardiol
Thème du journal:
Cardiologie
Année:
1994
Type:
Article
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