RESUMO
During the period, January 1989 to December 1990, 41 women or 25 percent of all female patients between the ages of 15 and 50 years who presented to a private family practice were diagnosed as having pelvic inflammatory disease (PID). Seventy-eight per cent were between the ages of 20 and 40 years, 83 percent presented with pain, 56 percent with vaginal discharge and 15 were infertile. Fifty-one percent were treated with a combination of tetracyline and metronidazole and 22 percent with cotrimoxazole. Seventy-four per cent obtained a symptomatic cure and 26 percent continued with persistent pain. Forty-five per cent of 11 patients presenting with rupture tubal pregnancy gave a history of previous PID. A review of the results of bacteriological investigation of women with PID over the period January 1989 to December 1990 showed that 49.7 percent had no pathogens, 26.4 percent had candida albicans, 8.2 percent trichomonas, 46 percent E. Coli, 4.6 percent haemophilus, 4.4 percent streptococcus, 15 percent N. Gonorrhea and 10.4 percent other organisms (AU)
Assuntos
Humanos , Adolescente , Adulto , Feminino , Doença Inflamatória Pélvica/epidemiologia , Índias Ocidentais , Infertilidade Feminina , Tetraciclina/uso terapêutico , Metronidazol/uso terapêutico , Candida albicans , Trichomonas , HaemophilusRESUMO
96 cases of meningitis seen at the University College Hospital of the West Indies in 1958-60 are reviewed. In Jamaica, meningitis is predominantly a paediatric problem. Haemophilus influenzae is the commonest cause of this disease, and meningococcal meningitis is rare. Late admission to hospital and difficutly of diagnosis due to antibiotic or sulphonomide treatment of prodromal signs are common