Chlamydia trachomatis and febrile complications of postpartum tubal ligation.
Am J Obstet Gynecol
; 176(1 Pt 1): 100-2, 1997 Jan.
Article
em En
| MEDLINE
| ID: mdl-9024097
ABSTRACT
OBJECTIVE:
Our goal was to determine whether chlamydia-infected women have a higher rate of febrile complications after postpartum tubal ligation. STUDYDESIGN:
Cross-sectional analysis of 1447 women tested for chlamydial infection within 2 weeks of delivery and who underwent postpartum tubal ligation was performed. Subjects were identified with the Regenstrief Institute for Health Care database. Infected subjects were compared with uninfected subjects for incidence of fever not explained by nongynecologic sources.RESULTS:
Women infected with Chlamydia trachomatis at delivery were more likely to experience febrile postoperative complications after tubal ligation (p < 0.0001, relative risk 9.5, 95% confidence interval 4.5 to 20.1).CONCLUSION:
Women undergoing postpartum tuba ligation may benefit from prompt diagnosis and preoperative treatment of chlamydial infection.ABSTRACT
PIP A cross-sectional analysis of 1447 US women who underwent postpartum tubal ligation and were tested for Chlamydia trachomatis within 2 weeks of delivery revealed a significant (p 0.0001) increased risk (odds ratio, 9.5; 95% confidence interval, 4.5-20.1) of febrile postoperative complications in untreated chlamydia-positive women. A total of 36 women (2.5%) tested positive for chlamydia at delivery. Of the 41 women with febrile complications (defined as fever equal to or above 38.0 C for more than 24 hours with no evidence of pneumonia, urinary tract infection, or nonreproductive infection) after tubal ligation, 8 (22%) were chlamydia-positive. Of note was the finding that 30% of chlamydia-negative women with febrile complications had a sexually transmitted disease history, predominantly chlamydia. Although previous studies have linked chlamydial infection with salpingitis, postabortion endometritis, tubal infertility, and ectopic pregnancy, this is the first to identify an association with febrile morbidity after postpartum tubal ligation. It cannot be ascertained whether the increased febrile complication rate is caused by chlamydia or concomitant conditions; nonetheless, use of rapid diagnostic tests in women intending to undergo postpartum tubal ligation and prompt treatment of chlamydial infections detected are recommended.
Palavras-chave
Americas; Biology; Chlamydia--complications; Comparative Studies; Cross Sectional Analysis; Developed Countries; Diseases; Family Planning; Female Sterilization; Infections; North America; Northern America; Postpartum Women; Puerperium; Reproduction; Reproductive Tract Infections; Research Methodology; Risk Factors; Sexually Transmitted Diseases; Sterilization Seekers--women; Sterilization, Sexual; Studies; Tubal Ligation--complications; Tubal Occlusion; United States
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esterilização Tubária
/
Infecções por Chlamydia
/
Chlamydia trachomatis
/
Febre
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Am J Obstet Gynecol
Ano de publicação:
1997
Tipo de documento:
Article
País de afiliação:
Estados Unidos