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Medicina & Laboratorio

2017, Number 01-02

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Medicina & Laboratorio 2017; 23 (01-02)

Chorioamnionitis characterization in patients treated in Hospital Susana Lopez de Valencia (Popayan, Colombia) between june 2013 and june 2014

Verdugo-Muñoz LM, Ortiz-Martinez RA, Angel-Angel GA, Solís-Parra MA, Stephens-Mosquera WS, Vidal-López CO

Language: Spanish
References: 19
Page: 75-83
PDF size: 418.35 Kb.


ABSTRACT

Introduction: Chorioamnionitis is the infection of the membranes of the amniotic sac, chorion and amnion. Objetive: To characterize clinally the patients diagnosed with chorioamnionitis who were treated at the hospital Susana López de Valencia in the city of Popayan (Colombia) during June 2013 and June 2014 Methodology: A cross-sectional descriptive study was performed based on records of institutional clinical records with has diagnosis of chorioamnionitis during the established study period. Results: A total of 268 patients were included with an average age between 19 and 34 years old. The most frequent clinical syntomatology associated with chorioamnionitis was premature rupture of membranes (35.82%). Most patients (77.24%) were clinical diagnosed at the postpartum period (up to the first three days postpartum) presenting leukocytosis greater than 15,000/µL (47.83%) and hyperthermic cavity (40.58%). Finally, to establish which symptoms had been presented in conjunction with fever according with Gibbs criteria a cross-variable was performed, which stablishes that during antepartum and postpartum the leukocytosis (68.18% and 76%, respectively) and maternal tachycardia (73% and 76%, respectively) were the most two prevalent symptoms. Conclusions: The indirect prevalence of chorioamnionitis in the study sample was 8.05%. The main risk factor for this disease was the premature rupture of ovary membranes and their diagnosis was made mainly in the postpartum period with the help of Gibbs criteria.


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