By Patrick Schlievert (auth.), Rudolph P. Galask M.D., Bryan Larsen PH.D. (eds.)
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Extra info for Infectious Diseases in the Female Patient
Example text
Practical diagnostic criteria have been proposed. 86 INTRAUTERINE INFECTIONS Defining the relationship of the indigenous microflora to infections within the uterine cavity is problematic because of the added technical difficulty of ensuring that the microorganisms isolated do not represent contamination by 35 vaginal or endocervical flora but are truly of uterine origin. Different sampling techniques have fueled a debate over whether the endometrium is normally sterile or whether colonization occurs in healthy women at least some of the time, particularly during the puerperium.
98 ,99 However, many of rect lines of evidence have indicated that the species more commonly found in the genichanges in the ecosystem can provide the op- tal micro flora also can become even more prevportunists in the microflora a situation in alent or proliferate to higher concentrations which they act as pathogens. and likewise are very common in genital infecNonvenereal genital infections usually de- tions, as exemplified by E. coli, enterococci, rive from the indigenous microflora, but obvi- B.
Microflora consisting predominantly of lactoResults with the combination of preoperative bacilli possibly with diphtheroids and coaguhot conization of the cervix, intended to re- lase-negative staphylococci, which have miniduce intraoperative contamination by endocer- mal pathogenic potential, is the "safest" flora. vical organisms, and an iodophore scrub sug- Surprisingly few hard data are available that gest an effective diminution of the genital confirm this belief. Although an individual's usual pattern of microflora by virtue of a low rate of postoperative febrile morbidity.