[Hysteroscopy infection risk].
OBJECTIVE
The aim of this study is to evaluate the infectious risk of the hysteroscopy.


METHODS
A prospective study was carried for nine months in the Belle-de-Mai maternity, in Marseille. We performed 81 operative or diagnostic hysteroscopies. A vaginal sample was achieved before the intervention and an endo-uterine sample after the procedure. The statistical analysis used the Chi 2 test.


RESULTS
Fifty per cent of the patients of whom vaginal sample was contaminated present an endo-uterine sample infected at the end of an operative hysteroscopy. In 25% of cases, whereas the vaginal sample was normal, the endo-uterine prelevment was infected. The relative risk of the endo-uterine bacterial contamination, in case of vaginal contamination was 8.75 during this procedure. Within diagnostic hysteroscopy, no patient with a normal vaginal sample, was contaminated. No patent infection was observed.


CONCLUSIONS
There is a risk of endo-uterine contamination during hysteroscopy. This risk is higher when the vaginal sample is contaminated before the intervention. This risk is smaller than the infectious risk of hysterectomy.
Boubli
L
L
Service de Gynécologie-Obstétrique, Maternité Belle-de-Mai, Marseille.
Porcu
G
G
Gandois
J M
JM
d'Ercole
C
C
Blanc
B
B
D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000209:etiology*; D003428:Cross Infection / Q000209:etiology*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D017053:Infection Control; D008875:Middle Aged; D011446:Prospective Studies; D012306:Risk; D012307:Risk Factors; D014591:Uterine Diseases / Q000209:etiology*; D014623:Vaginal Diseases / Q000209:etiology*