geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Frequency and treatment of methicillin resistant Staphylococcus aureus in obstetric and gynaecological sepsis


, : Frequency and treatment of methicillin resistant Staphylococcus aureus in obstetric and gynaecological sepsis. Journal of the College of Physicians and Surgeons--Pakistan 23(10): 708-710

To perform culture and sensitivity for pathogens causing puerperal and postoperative wound sepsis and determine the frequency of Methicillin Resistant Staphylococcus aureus (MRSA) in such infections. Observational study. Obstetrics and Gynaecology Ward, Jinnah Postgraduate Medical Centre, Karachi, from December 2008 to May 2010. All patients presenting with puerperal sepsis or postoperative wound infection were enrolled. Pus was collected for culture and sensitivity using standard technique. Two samples were taken from each patient; one before starting the treatment and one at the end of treatment. Ames transport medium was used. Empirical treatment with triple regimen (Ampicillin, Metronidazole and Gentamicin) was started immediately to cover Gram positive as well as negative bacteria in addition to anaerobic infection. After receiving the sensitivity report, antimicrobial agent were changed accordingly. Samples from ward and theater staff and environment were also taken to look for possible mode of transmission. Data was recorded on a proforma. Discrete variables are expressed as percentages. Staphylococcus aureus was the most frequent organism isolated in 34.6% cases. Methicillin sensitive Staphylococcus aureus was seen in 20% cases and methicillin resistant Staphylococcus aureus was seen in 14.6%. Out of these 14.6% MRSA, (17) 77% was associated with puerperal sepsis and rest (5) 23% was associated with postoperative wound infection. It showed best sensitivity to vancomycin. Staphylococcus aureus and E. coli were common causative agent of postoperative infections and puerperal sepsis.

US$19.90

PMID: 24112255

DOI: 10.2013/JCPSP.708710


Other references

Hincapie-Palacio, D.; Lenis Ballesteros, V.; Ospina, M.Ospina.; Toro, O.Lucía.Pérez.; Díaz, F.J., 2014: Seroprevalence of rubella in Colombia: a birth-year cohort analysis. To estimate the seroprevalence of rubella and associated factors. Population-based seroprevalence study in a random sample of 2,124 individuals, aged six to 64 years, representative by age, sex and area in Medellín, Colombia, 2009. Biological and...

Franco, G.; Luizy, F.; Francheschi, C., 1988: Ultrasonic tomography of the abdominal vessels. For a long time echotomography just was interested in big vessels as precious anatomic guide, to delimit pancreas, to cut up liver or to situate ganglion or tumour. The improvement of technics, and particularly real time sonography coupled with co...

Powers, J.M.; Byrne, N.P.; Ito, M.; Takao, M.; Yankopoulou, D.; Spillantini, M.G.; Ghetti, B., 2003: A novel leukoencephalopathy associated with tau deposits primarily in white matter glia. A 79-year-old woman had a 10-year history of dementia, initially presenting as non-fluent aphasia. Magnetic resonance imaging showed frontal atrophy (left greater than right) and hyperintense foci within white matter. Neuropathologically, there wa...

Crane, M.A.; Knight, K.L., 1994: Model for the development of the rabbit humoral immune system. FASEB Journal 8(4-5): A525

Gubanov, I.; Tikhomirov, V., 1977: New taxa of vascular plants published in Bulletin of Moscow Society of Naturalists, biological series during 1917-1976. Biulleten' Otdel biologicheskii: 82 (5) 148-158

Chiengkriwate, P.; Patrapinyokul, S.; Sangkhathat, S.; Chowchuvech, V., 2007: Primary pull-through with modified Duhamel technique: 1 institution's experience. Primary pull-through for Hirschsprung disease has been reported to give comparable surgical outcomes to staged operations with less morbidity. The aim of this study was to review the early experiences in our institution with the primary pull-throu...

Kami, M.; Machida, U.; Hirai, H., 1999: Late clonal complications in older patients receiving immunosuppressive therapy for aplastic anemia. Annals of Internal Medicine 131(8): 633-634

Gal E.M., 1974: Synthetic p halogeno phenyl alanines and protein synthesis in the brain. Wolstenholme, G E W And David W Fitzsimons, (Ed ) Ciba Foundation Symposium, No 22 Aromatic Amino Acids in The Brain London, England, May 15-17, 1973 Viii+396p Illus American Elsevier Publishing Co , Inc : New York, N Y , U S A 343-359

Al-Dakheel, D.A.; Al-Mohimeed, A.I.; Shriyan, D.S.; Sadat-Ali, M., 2005: Voluntary seatbelt usage. Did we reach there yet?. Saudi Medical Journal 25(12): 2059-2060

Cook J.S.; Brake E.T., 1978: Uptake and fate of ouabain bound to hela cells. Straub, Ralph W And Liana Bolis (Ed ) Cell Membrane Receptors For Drugs And Hormones: A Multidisciplinary Approach Xv+356p Illus Raven Press: New York, N Y , Usa Isbn 0-89004-227-6 343-351