Post-abortion endometritis-myometritis and HIV infection.
The objective was to explore if HIV-1 infection is a risk factor for post-abortion endometritis-myometritis (PAEM) in an urban hospital in Kampala, Uganda. HIV-1 seroprevalence in women with and without post-abortion infection was established using two standard enzyme-linked immunosorbent assays. Fifty-two women with PAEM and 106 without PAEM infection were recruited. The HIV-1 seroprevalence was 17 (32.7%) among women with PAEM and 38 (36.5%) among women without post-abortion infection. HIV infection was not found to correlate with the risk for PAEM. HIV-1 seroprevalence in both groups was double that among antenatal clients in the same hospital, 14.6% in 1997. Life-threatening infections such as septicaemia, peritonitis and pelvic abscesses were observed among 12 cases (23%). HIV-1 infection was not shown to be a risk factor for PAEM, but women with abortions with and without PAEM have a higher prevalence of HIV-1 than antenatal clients.
Okong
P
P
Department of Obstetrics and Gynaecology, Nsambya Hospital, PO Box 7146, Kampala, Uganda.
Biryahwaho
B
B
Bergström
S
S
D000027:Abortion, Incomplete / Q000150:complications* / Q000382:microbiology; D000038:Abscess / Q000209:etiology; D000293:Adolescent; D000328:Adult; D004716:Endometritis / Q000209:etiology*; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D016017:Odds Ratio; D010388:Pelvis; D010538:Peritonitis / Q000209:etiology; D011446:Prospective Studies; D012307:Risk Factors; D018805:Sepsis / Q000209:etiology