Abstract

PARDO NOVAK, Antonio; BRANEZ GARCIA, Cristian A.; CAMACHO CLAROS, Claudia  and  ORDONEZ MAIGUA, Javier. Germs present in newborns gastric aspírate cultures from intramnioticinfecction suspected patients. Gac Med Bol [online]. 2009, vol.32, n.1, pp.25-29. ISSN 1012-2966.

The purpose ofthe current work, carried out atthe Maternal-lnfant Hospital "Germán Urquidi" in Cochabamba, isto identify, by means of a culture, the germ(s) present in the amniotic fluid, aspirated from the gastric cavity of newborns, within the first 5 minutes of being born (potential pathogens of maternal-infant infections), of mothers suspected of intra-amniotic infection, whose pregnancies were complicated and presented premature sack breakage. A prospective, longitudinal, laboratory, correlational study was performed, taking samples from 40 patients who met the criteria for inclusion in the study and whose amniotic fluid samples were cultivated at the Bolivian Japanese Gastroenterological laboratory. At the same time, patients'afterbirths were studied histopathologically. As a result, positive cultures were identified in 75% ofthe samples, where the most common germ present was Escherichia coli, followed by Stafilococo aureus, whose antibiotic sensitivities were found to be adequate for quinolones and cephalos porins, disregarding conventional drugs, due to the resistance they showed. Likewise, it was possible to demonstrate that histological chorioamnionitis is much more frequent than clinical chorioamnionitis, resulting positive even in cases in which no germ at all was cultivated.

Keywords : Amniotic fluid culture; Aspirated from the gastric cavity of newborns; Intra-amniotic infection; Premature sack breakage.

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