Castellanos MT, Poveda MA, Rivero SV, Oliver DMM

Language: Spanish
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Page: 4096-5003
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ABSTRACT

Introduction: both the puerperal infections and the early neonatal infections probably reflect the organisms which are present in the vagina in the period close to childbirth.
Objective: to establish the relationship between the organisms identified in the genital secretions from the pregnant women at term and the development of neonatal and puerperal sepsis, as well as to link these complications with the diagnosed agents.
Methods: a longitudinal and prospective study was carried out in the microbiology obstetrics, perinatology and neonatology services of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital, in Santiago de Cuba, from July, 2009 to March, 2010. Organisms were identified in 179 cervix and vaginal samples, which were processed in the microbiology laboratory according to the present norms.
Results: the organisms mostly identified were the Mycoplasmas and Chlamydias (78.2 and 69.3 %, respectively) and were those most frequently associated. A high percentage of the pregnant women (67.0%) had more than an organism in their genital secretions. After the childbirth there was a higher finding of infections in the conceptus (21.8%) than in the puerperas (3.9%) and most of these complications were related to the presence of 2 or more organisms.
Conclusions: the associations of pathogenic or potentially pathogenic microorganisms in the genital discharge of pregnant women at term, increase the risk of postnatal complications.