Nonclostridial anaerobic bacteria in septic abortion.

摘要: Abstract To clarify the role of various bacterial species in septic abortion, a series patients were carefully studied bacteriologically, using quantitative aerobic and anaerobic technics. Bacteremia was demonstrated thirty-four fifty-six whose blood cultured on admission. Two or three recovered from half positive cultures. Thirty-four isolates strictly anaerobic, thirteen microaerophilic only twelve aerobic. From sixty-nine uterine exudates, isolated abundance eighty-one times, whereas twenty-one times. These findings establish nonclostridial bacteria (principally streptococci Bacteroides species) as major invasive pathogens this mixed infection. Although stream invasion is often transient, these organisms can cause extrauterine complications such pelvic abscess, suppurative thrombophlebitis metastatic infection lung, liver, brain heart valves. Early treatment with penicillin tetracycline should prevent great majority patients. Aerobic negative rods Escherichia coli) are frequently present exudates but usually small numbers. They are, nevertheless, most common bacteremic shock, kanamycin recommended third drug routine initial antibiotic coverage.