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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8206
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pubmed:dateCreated |
1981-2-24
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pubmed:abstractText |
A follow-up of 535 patients after vaginal delivery showed that 9% had a fever of 37.7 degrees C or greater, and 2% had a fever of 38 degrees C or more, on two days. The commonest cause of both categories of fever was Mycoplasma hominis infection as defined by a fourfold or greater rise in mycoplasmacidal antibody titre. Among women for whom sera were available this agent caused 50% (14/28) of all fevers and 71% (5/7) of the higher fevers. Absence or low titre (< 1:8) of antibody against M. hominis was the strongest single predictor of otherwise unexplained fever (16/40 patients with low antibody titre were febrile vs 7/50 with high antibody titre, p < 0.01). Among women with absent or low antibody titres, both rise in titre of antibody to this organism and lochial colonisation by it were significantly associated with fever (p < 0.001, p < 0.025, respectively). Standard microbiological and clinical techniques identified probable causes in only 18% (5/28) of all fevers and 29% (2/7) of higher fevers. Patients who had postpartum infection caused by M. hominis remained in hospital 31% longer than the non-infected patients (4.57 vs 3.49 days, p < 0.001). Low antibody to and lochial colonisation with M. hominis occurred together in 17% of patients, who accounted for 71% of all higher fevers. Since these risk factors for postpartum fever can be identified before delivery, prophylactic measures applied selectively to women with these risk factors may prevent a large proportion of postpartum fevers and the excess hospital stay associated with them.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
6
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pubmed:volume |
2
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1217-21
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:6108394-Adult,
pubmed-meshheading:6108394-Antibodies, Bacterial,
pubmed-meshheading:6108394-Female,
pubmed-meshheading:6108394-Humans,
pubmed-meshheading:6108394-Mycoplasma,
pubmed-meshheading:6108394-Mycoplasma Infections,
pubmed-meshheading:6108394-Pregnancy,
pubmed-meshheading:6108394-Puerperal Infection,
pubmed-meshheading:6108394-Ureaplasma,
pubmed-meshheading:6108394-Vagina
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pubmed:year |
1980
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pubmed:articleTitle |
Infection with Mycoplasma hominis in postpartum fever.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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