Severe peripartum sepsis

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Severe peripartum sepsis.

Despite global efforts to reduce maternal mortality, maternal deaths from bacterial sepsis have actually risen in the UK. The group A streptococcus, also known as Streptococcus pyogenes, is the leading cause of infection-related death in pregnancy and the puerperium. Many clinicians remain unaware of the risks posed to this particular group of otherwise fit, healthy patients despite the fact th...

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Incidence, treatment and outcome of peripartum sepsis.

BACKGROUND AND METHODS Clinical and microbiological features of maternal sepsis in the peripartum period (7 days before to 7 days after delivery) were analyzed to determine possible risk factors, optimal treatment and outcome. In 43 483 deliveries during 1990-98, laboratory-confirmed bacteremia was found in 41 (5.1%) out of 798 clinically suspected septic infections. RESULTS Preterm deliverie...

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Epidemiology of severe sepsis

Severe sepsis is a leading cause of death in the United States and the most common cause of death among critically ill patients in non-coronary intensive care units (ICU). Respiratory tract infections, particularly pneumonia, are the most common site of infection, and associated with the highest mortality. The type of organism causing severe sepsis is an important determinant of outcome, and gr...

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Sex and severe sepsis

Epidemiological studies document that males are more prone than females to develop severe sepsis and this is confirmed by Sakr and colleagues in the previous issue of Critical Care. However, the impact of gender on prognosis of severe sepsis is a matter of debate. Sakr and colleagues report a higher mortality in septic females than in males. This puzzling result might be explained by confoundin...

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Immunopathogenesis of severe sepsis.

Severe sepsis refers to the syndrome of fever, hypotension and organ dysfunction resulting from infection, commonly due to Gram-negative or Gram-positive bacteria with or without bacteraemia1. Occasionally, non-bacterial pathogens, including fungi, rickettsiae, protozoa and viruses, can cause a similar syndrome. The first line of defence against infecting organisms comprises highly conserved in...

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ژورنال

عنوان ژورنال: The Journal of the Royal College of Physicians of Edinburgh

سال: 2011

ISSN: 1478-2715,2042-8189

DOI: 10.4997/jrcpe.2011.411