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首页> 外文期刊>Infectious diseases in obstetrics and gynecology >Etiology of Persistent Tubo-Ovarian Abscess in Nairobi, Kenya
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Etiology of Persistent Tubo-Ovarian Abscess in Nairobi, Kenya

机译：肯尼亚内罗毕持续性输卵管卵巢脓肿的病因

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ObjectiveTo study the microbial etiology of tubo-ovarian abscess (TOA).MethodsWe recruited 11 women in Nairobi, Kenya who failed antibiotic therapy alone and requiredsurgical drainage of a presumptive TOA. Pus from the nine abscesses and two pyosalpinges were collected andcultured for aerobic, facultative and anaerobic microorganisms.ResultsEleven women suspected of having a TOA were hospitalized and treated for a median of 6 days (range3–14 days) prior to surgical drainage of the abscess. Nine (82%) specimens were culture positive. Aerobeswere present in all nine specimens. Seven of the nine positive cultures (78%) were polymicrobial and five ofthe polymicrobial cultures contained both anaerobes and aerobes. Anaerobic Gram-negative bacilli (Prevotella sp.,Porphyromonas sp. and Bacteroides sp., Escherichia coli) and Streptococcus sp. (S. viridansandS. agalactiae) were themost common microorganisms isolated.Neisseria gonorrhoeaeandChlamydia trachomatiswere not isolated byculture or detected by polymerase chain reaction.ConclusionsIn Kenya, persistent TOAs are associated with endogenous flora similar to that normally foundin the gastrointestinal tract.
机译：目的研究微管卵巢脓肿（TOA）的微生物病因。方法我们在肯尼亚内罗毕招募了11名仅接受抗生素治疗失败且需要手术引流TOA的女性。收集来自九个脓肿和两个脓毒症的脓液，并进行有氧，兼性和厌氧性微生物培养。结果11名怀疑患有TOA的妇女在手术引流脓肿之前已入院并接受了中位数6天（范围3-14天）的治疗。 9个（82％）标本为培养阳性。在所有九个标本中都存在有需氧菌。九种阳性培养物中的七种（占78％）是微生物，而五种微生物培养物中同时含有厌氧菌和需氧菌。厌氧革兰氏阴性杆菌（Prevotella sp。，Porphyromonas sp。和Bacteroides sp。，大肠杆菌）和Streptococcus sp.。 （S. viridans和S. agalactiae）是最常见的微生物，不能通过培养或通过聚合酶链反应检测到淋病奈瑟氏球菌和沙眼衣原体。结论在肯尼亚，持久性TOA与内源性菌群相关，与正常在胃肠道中相似。

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