The role of bacterial vaginosis in infection after major gynecologic surgery.
The role of bacterial vaginosis in infection after major gynecologic surgery.
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DOI：
10.1155/s1064744999000277
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发表时间：
1999-01-01
影响因子：
--
通讯作者：
Faro, S
中科院分区：
文献类型：
--
作者：
Lin, L;Song, J;Faro, S
目的：以前的研究报道了细菌性阴道病（BV）与术后发热和感染之间的关系。这项前瞻性研究调查是否中间或明确阶段的BV是术后感染的危险因素后，重大gynecologic surgery.METHODS：阴道培养获得术前从175名妇女接受妇科手术。BV的诊断标准基于Nugent的革兰氏染色判读标准化方法。术后发热定义为至少有一个温度等于101.0华氏度或更高，或两个或两个以上的温度超过6小时的时间间隔等于100.4华氏度或更高。结果：36%的阳性BV组术后发热，相比之下，20%的乳酸杆菌为主的组和12%的中间BV组（P = 0.017）。阳性BV组与乳酸杆菌为主组之间以及阳性BV组与中度BV组之间术后发热的差异具有统计学意义（分别为P = 0.045和P = 0.007）。中间BV组和乳酸杆菌为主组之间的差异无统计学意义（P = 0.28）。结论：虽然BV和术后发热发病率之间的关联可能是一个虚假的结果与其他变量的混杂，它可能是谨慎的外科医生，以确定BV患者和治疗他们术前。
PURPOSE: Previous studies have reported an association between bacterial vaginosis (BV) and postoperative fever and infection. This prospective study investigated whether the intermediate or definite stages of BV are risk factors for postoperative infection after major gynecologic surgery.METHODS: Vaginal cultures were obtained preoperatively from 175 women undergoing gynecologic surgery. The diagnostic criteria for BV were based on Nugent's standardized method of Gram stain interpretation. Postoperative fever was defined as at least one temperature equal to 101.0 degrees F or greater, or two or more temperatures more than 6 hours apart equal to 100.4 degrees F or greater.RESULTS: Thirty-six percent of the positive-BV group developed a postoperative fever, compared with 20% of the Lactobacillus-predominant group and 12% of the intermediate-BV group (P = 0.017). The differences between the positive-BV group and the Lactobacillus-predominant group, and between the positive-BV group and the intermediate-BV group, with respect to postoperative fever, were statistically significant (P = 0.045 and P = 0.007, respectively). The difference between the intermediate-BV group and the Lactobacillus-predominant group was not statistically significant (P = 0.28).CONCLUSIONS: Although the association between BV and postoperative febrile morbidity could be a spurious result of confounding with other variables, it may be prudent for the surgeon to identify patients with BV and treat them preoperatively.