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Lakartidningen ; 1152018 01 26.
Artigo em Sueco | MEDLINE | ID: mdl-29381182


Puerpural fever still exist. A rare condition that must be kept in mind All 33 claims to the Swedish National Patient Insurance (LÖF) in 2010-2014 related to obstetric infections, of which 14 were due to endometritis, were examined. Nine women suffered from fulminant infections consistent with classical puerperal fever (childbed fever), 2 of which were life-threatening. They occurred unexpectedly, mainly after uncomplicated deliveries, and were usually caused by Group A streptococci. Five women suffered from endometritis with a mild or moderate clinical course. All occurred after early birth-related complications and were caused by low-virulent bacteria. In order for an infection to occur in a healthy woman who undergoes normal delivery, more virulent bacteria appear to be required. Since these bacteria may exist in the hospital environment, improved hygiene routines are a prerequisite for reducing the number of nosocomial infections.

Febre/epidemiologia , Infecção Puerperal/epidemiologia , Adolescente , Adulto , Estado Terminal , Endometrite/epidemiologia , Endometrite/microbiologia , Feminino , Febre/microbiologia , Humanos , Seguradoras/estatística & dados numéricos , Períneo/microbiologia , Gravidez , Infecção Puerperal/microbiologia , Infecções do Sistema Genital/epidemiologia , Infecções do Sistema Genital/microbiologia , Infecções Estreptocócicas/epidemiologia , Streptococcus pyogenes/isolamento & purificação , Suécia/epidemiologia , Vagina/microbiologia , Adulto Jovem