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Puerperal Pyrexia

Fever Puerperal


Presentation

  • Routine prophylaxis is widely accepted for caesarean sections, which account for 20%–25% of deliveries. 1 Of course, any pregnant woman presenting with an obvious infection will automatically receive an antibiotic.[web.archive.org]
  • Glandular fever is probably a common cause of fever in the postpartum period. [ 8 ] Presentation The symptoms with which the mother presents may well provide some idea of the source of the infection or there may be many symptoms referring to more than[patient.info]
  • Presented in bullet point format for ease of understanding, each topic has been fully revised and new sections added.[books.google.de]
  • Organisms commonly producing this infection are Streptococcus pyogenes ; staphylococci (inhabitants of the skin and of pimples, carbuncles, and many other pustular eruptions); the anaerobic streptococci, which flourish in devitalized tissues such as may be present[britannica.com]
Fever
  • This paper provides an overview on the process of preventing puerperal fever and the life story of the physician behind this attempt, Ignaz Semmelweis, through philately.[ncbi.nlm.nih.gov]
  • None of these women had a case of puerperal fever.[web.archive.org]
  • […] feverchild-birth fever 3.[slideshare.net]
Gangrene
  • C. made the autopsy of a man who had died suddenly, sick only forty-eight hours; had œdema of the thigh and gangrene extending from a little above the ankle into the cavity of the abdomen.” Dr.[web.archive.org]
Pathologist
  • They were not well received, other opponents at that time including the famous pathologist Rudolph Virchow and the prominent obstetrician Friedrich Scanzoni.[web.archive.org]
Fishing
  • Enbrel vs Aspirin Enbrel vs Butrans Enbrel vs Cataflam Enbrel vs Celebrex Enbrel vs Celecoxib Enbrel vs Celexa Enbrel vs Curcumin Enbrel vs Cyclobenzaprine hydrochloride Enbrel vs Cymbalta Enbrel vs Duexis Enbrel vs Etodolac Enbrel vs Feldene Enbrel vs Fish[ehealthme.com]
Abdominal Pain
  • Management of Puerperal Pyrexia History Symptoms of genital tract infections – offensive lochia, vaginal discharge, abdominal pain, diarrhoea Symptoms of breast disease e.g. pain, redness Symptoms of urinary tract infections - frequency, dysuria, loin[busyspr.com]
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself[nejm.org]
  • The main symptoms and signs are: fever of more than 380C tender, sub-involuted uterus (has not returned to its normal size following childbirth) chills and general malaise lower abdominal pain diarrhoea (can indicate pelvic sepsis) purulent and foul-smelling[health.nsw.gov.au]
Skin Lesion
  • Normally found on the skin, in the nose and throat, and in the vagina, as well as in skin lesions, the streptococcus was introduced into the genital tract during examinations and deliveries.[web.archive.org]
Fear
  • Up to that point, causes of death had been supposedly accurately recorded for more than 40 years, but, in fact, the puerperal nature of fatal infections in women was frequently omitted. 14, 15 Globally, the most common and most feared infecting organism[web.archive.org]
  • […] occur, though rarely, in New York.” 36 I mention these little hints about the occurrence of such cases partly because they are the first I have met with in American medical literature, but more especially because they serve to remind us that behind the fearful[bartleby.com]
Oliguria
  • Increased sympathetic activity (tachycardia, hypertension, pallor, clamminess, and peripheral shutdown) Systemic inflammation (fever or hypothermia, tachycardia, tachypnea) Organ hypoperfusion (cold peripheries, hypoxemia, confusion, hypotension, and oliguria[sharinginhealth.ca]

Treatment

  • TreatmentTreatment • Treatment of puerperal infection usually begins with I.V. infusion of broadspectrum antibiotics and is continued for 48 hours after fever is resolved. • Supportive care • Symptomatic treatment • Surgery may be necessary to remove[slideshare.net]
  • For treatment options refer to Therapeutic Guidelines: antibiotic or seek advice from a microbiologist or infectious disease specialist. (Note: if GAS is isolated IV penicillin is the treatment of choice).[health.nsw.gov.au]
  • If the fever is prolonged then treatment with heparin should also be considered.[patient.info]
  • Abstract The puerperal woman with a pyrexia has an infection and for treatment to be effective it is necessary to investigate fully the nature, site and cause of the infection and whenever possible to identify the responsible agent and its source.[link.springer.com]

Prognosis

  • Prognosis The majority of patients will make a full recovery with no lasting effects if treated speedily with appropriate antibiotic therapy and fluids.[patient.info]

Etiology

  • Semmelweis later published The Etiology, Concept, and Prophylaxis of Childbed Fever (1861).[britannica.com]
  • It is well-known that Ignác Semmelweis discovered the etiology and prophylaxis of puerperal sepsis. However, few historians have focused on his understanding of the pathophysiology of fetal and neonatal sepsis.[ncbi.nlm.nih.gov]
  • Abstract It is well known that Ignác Semmelweis discovered the etiology and prophylaxis of puerperal sepsis. However, few historians have focused on his understanding of the pathophysiology of fetal and neonatal sepsis.[doi.org]
  • Semmelweis, Ignaz, The Etiology, Concept and Prophylaxis of Childbed Fever, trans. K. Codell Carter (reprinted by permission of University of Wisconsin Press, 1983) in Medicine: A Treasury of Art and Literature 136. 2-3. Ibid. 145. 4-6.[web.archive.org]
  • This will allow for robust data on etiology, etiology specific incidence of PP sepsis, and will provide specific antibiotic susceptibility data for detected pathogens.[reproductive-health-journal.biomedcentral.com]

Epidemiology

  • Hospital Epidemiology and Infection Control for Children: Report From the Society for Healthcare Epidemiology of America Pediatric Leadership Council . Journal of the Pediatric Infectious Diseases Society, Vol. 3, Issue. 1, p. 4.[doi.org]
  • Epidemiologic evidence on the timing of onset of conditions suggest that the majority of maternal deaths occur on the day of childbirth due to haemorrhage and hypertensive disorders [ 18 ].[reproductive-health-journal.biomedcentral.com]
  • These "lying-in" hospitals were established at a time when there was no knowledge of antisepsis or epidemiology, and women were subjected to crowding, frequent vaginal examinations, and the use of contaminated instruments, dressings, and bedding.[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • Part I of this review provides background information and definitions, discusses the incidence and risk factors, explains the microbiology and pathophysiology of various infections, and delineates the signs and symptoms of major puerperal infection.[ncbi.nlm.nih.gov]
  • However, few historians have focused on his understanding of the pathophysiology of fetal and neonatal sepsis.[doi.org]
  • […] socioeconomic status poor nutrition, anemia first birth prolonged membrane rupture, or prolonged labour multiple pelvic exams during labour instrumentation during delivery retention of placental fragments in the uterus postpartum hemorrhage return to top Pathophysiology[sharinginhealth.ca]

Prevention

  • Puerperal pyrexia and sepsis are among the leading causes of preventable maternal morbidity and mortality not only in developing countries but in developed countries as well.[ncbi.nlm.nih.gov]
  • Although puerperal pyrexia is preventable, the incidence level remains a public health concern if the global Millennium Development Goals (MDG) of reducing maternal mortality by 75% is to be achieved by 2015.[ajol.info]
  • Watson recommended handwashing with chlorine solution and changes of clothing for obstetric attendants — everything, he said, "to prevent the practitioner becoming a vehicle of contagion and death between one patient and another."[web.archive.org]
  • […] doi: 10.1097/01.ogx.0000265998.40912.5e CME Program: CATEGORY 1 CME REVIEW ARTICLES 16, 17, AND 18: CME REVIEW ARTICLE 16 Abstract Author Information Authors Article Metrics Metrics Puerperal pyrexia and sepsis are among the leading causes of preventable[journals.lww.com]

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