[The significance of genital mycoplasmas in the etiology of puerperal endometritis].
The rate of genital Mycoplasma isolation from the uterine cavity was studied in 147 puerperae (80 ones with a normal course of the puerperium and 67 with acute postpartum endometritis). Mycoplasma were isolated from the metroaspirate in 11.3% of puerperae in whom the postpartum period ran a normal course; M. urealyticum were found in 8.8% and M. hominis in 2.5% of cases. In endometritis Mycoplasma were isolated from the infection focus 2.5 times more often, i.e. from 28.4% of patients with postpartum endometritis (M. urealyticum were detected in 9.0% and M. hominis in 19.4% of cases). Mycoplasma were the sole agents of endometritis in 9.0% of patients. Hysteroscopic and morphologic studies helped verify the contribution of genital Mycoplasma to the development of acute postpartum endometritis in 19.4% of the patients. Therefore, virtually every fifth patient with postpartum endometritis was in need of purposeful antimycoplasma therapy with tetracycline.
Nikonov
A P
AP
Ankirskaia
A S
AS
Nisilevich
V F
VF
D000208:Acute Disease; D000328:Adult; D004716:Endometritis / Q000209:etiology* / Q000382:microbiology; D005260:Female; D006801:Humans; D009174:Mycoplasma / Q000302:isolation & purification / Q000472:pathogenicity*; D009175:Mycoplasma Infections / Q000209:etiology* / Q000382:microbiology; D011645:Puerperal Infection / Q000209:etiology* / Q000382:microbiology; D016869:Ureaplasma Infections / Q000209:etiology / Q000382:microbiology; D016990:Ureaplasma urealyticum / Q000302:isolation & purification / Q000472:pathogenicity; D014599:Uterus / Q000382:microbiology*
Znachenie genital'nykh mikoplazm v étiologii poslerodovogo éndometrita.