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[Pelvic inflammatory disease-- microbial findings].

E Shopova

    Akusherstvo I Ginekologiia
    |November 21, 2002
    PubMed
    Summary

    Microbial analysis of gynecological infections revealed that anaerobic bacteria, often in combination, are the primary cause of tubo-ovarian abscess (TOA) and pelvic peritonitis. Direct microscopy is crucial for identifying inflammatory processes, even when cultures are negative.

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    [Group B streptococcus (GBS) infection in newborns in university hospital "Maichin Dom" EAD Sofia for the period 2008-2010].

    Akusherstvo i ginekologiia·2012

    Area of Science:

    • Gynecological Microbiology
    • Clinical Bacteriology
    • Infectious Diseases

    Context:

    • Study conducted at University Hospital "Maichin don" between 1997-2001.
    • Examined 86 women with various gynecological conditions including ovarian cysts, ectopic pregnancy, pyosalpinx, tubo-ovarian abscess (TOA), and pelvic peritonitis.
    • Focused on microbial findings from aspirates and surgical specimens.

    Purpose:

    • To present microbial findings from gynecological infections.
    • To highlight the importance of direct microscopical preparation (dmp) in evaluating inflammatory processes.
    • To identify causative agents of pelvic inflammatory disease (PID), TOA, and pelvic peritonitis.

    Summary:

    • Microbial analysis of 86 gynecological infection cases.
    • Direct microscopy proved vital for assessing inflammation, with 19.1% of purulent collections showing no microbial growth despite high leukocyte counts.
    • Neisseria gonorrhoeae was identified in 4/29 young women (16-25 years) with acute PID.
    • Mixed anaerobic and aerobic microorganisms were identified as the leading cause of TOA and pelvic peritonitis.

    Impact:

    • Emphasizes the diagnostic value of direct microscopy in conjunction with microbial cultures.
    • Identifies key pathogens, particularly anaerobic bacteria, in severe pelvic infections.
    • Provides insights into the etiology of PID and related conditions, aiding in targeted treatment strategies.

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