Infectious urinary tract morbidity with prolonged bladder catheterization after radical hysterectomy.

Abstract:

OBJECTIVE:This study was undertaken to determine the incidence of catheter-associated infection after radical hysterectomy and to evaluate the role of prophylactic antibiotics in these patients. STUDY DESIGN:A 4-year retrospective review of 102 women undergoing radical hysterectomy for cervical or endometrial cancer was performed. Clinical data were abstracted and analyzed with chi(2) and t tests. RESULTS:Catheter-associated infection was observed in 11% (12 of 102) and was not altered by the administration of prophylactic antibiotics (11.1% vs 11.8%, P=.95). Of the 12 women who had infection, 11 were treated as outpatients, and 1 patient required admission for pyelonephritis. Patient age, comorbid medical conditions, class of radical hysterectomy, perioperative complications, operative time, blood loss, catheter type, duration of catheterization, and length of hospitalization had no effect on the development of catheter-associated infection. CONCLUSION:The incidence of catheter-associated infection in women requiring prolonged catheterization after radical hysterectomy is relatively low. Withholding prophylactic antibiotics from these patients is a reasonable clinical option.

journal_name

Am J Obstet Gynecol

authors

Cardosi RJ,Cardosi RP,Grendys EC Jr,Fiorica JV,Hoffman MS

doi

10.1067/s0002-9378(03)00696-3

subject

Has Abstract

pub_date

2003-08-01 00:00:00

pages

380-3; discussion 383-4

issue

2

eissn

0002-9378

issn

1097-6868

pii

S0002937803006963

journal_volume

189

pub_type

杂志文章
  • Acute fetal hemodynamic alterations after intrauterine transfusion for treatment of severe red blood cell alloimmunization.

    abstract::One of the compensatory hemodynamic mechanisms seen in the anemic human fetus is an increased cardiac output. With Doppler techniques, cardiac output was measured in 21 fetuses before and immediately after 38 intrauterine transfusions for severe red cell alloimmunization. Umbilical venous pressures were measured befor...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(90)91067-m

    authors: Moise KJ Jr,Mari G,Fisher DJ,Huhta JC,Cano LE,Carpenter RJ Jr

    更新日期:1990-09-01 00:00:00

  • External cephalic version beginning at 34 weeks' gestation versus 37 weeks' gestation: a randomized multicenter trial.

    abstract:OBJECTIVE:In about 3% to 4% of all pregnancies at term, the fetal presentation will be noncephalic. External cephalic version (ECV) at term has been shown to decrease the rate of noncephalic presentation at birth and to decrease the rate of cesarean section associated with breech presentation. However, success rates fo...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1067/mob.2003.442

    authors: Hutton EK,Kaufman K,Hodnett E,Amankwah K,Hewson SA,McKay D,Szalai JP,Hannah ME

    更新日期:2003-07-01 00:00:00

  • Comparison of cytokine levels and embryo toxicity in peritoneal fluid in infertile women with untreated or treated endometriosis.

    abstract:OBJECTIVE:Our aim was to examine the relationship between the levels of cytokines in peritoneal fluid and its embryo toxicity. STUDY DESIGN:The levels of interleukin-1 and tumor necrosis factor were measured in peritoneal fluid from infertile women who did not have endometriosis (n = 21), who had untreated endometrios...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(11)91672-x

    authors: Taketani Y,Kuo TM,Mizuno M

    更新日期:1992-07-01 00:00:00

  • Effect of antibiotic use on the prevalence of symptomatic vulvovaginal candidiasis.

    abstract:OBJECTIVE:The purpose of the study was to evaluate the influence of antibiotic use on the prevalence of symptomatic vulvovaginal candidiasis. STUDY DESIGN:This is a case-control study of 684 women with symptomatic vulvovaginal candidiasis who were enrolled at a vaginitis clinic and 901 control subjects who attended a ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(99)70141-9

    authors: Spinillo A,Capuzzo E,Acciano S,De Santolo A,Zara F

    更新日期:1999-01-01 00:00:00

  • A six-year experience with paravaginal defect repair for stress urinary incontinence.

    abstract::One hundred forty-nine consecutive patients who had surgery from May 1890 through December 1986 were evaluated to assess the functional and anatomic results of the paravaginal defect repair for stress urinary incontinence. All patients had their preoperative assessment, operative procedure, and postoperative follow-up...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(89)90867-3

    authors: Shull BL,Baden WF

    更新日期:1989-06-01 00:00:00

  • Intrapartum hepatitis B screening.

    abstract:OBJECTIVE:The purpose of this study was to determine the prevalence of acute hepatitis B in intrapartum patients and to describe the birth-to-administration interval of the hepatitis B vaccine and immune globulin in hepatitis B surface antigen-positive patients detected by intrapartum screening. STUDY DESIGN:Hepatitis...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(95)90254-6

    authors: Petermann S,Ernest JM

    更新日期:1995-08-01 00:00:00

  • Successful neonatal outcome in 2 cases of maternal persistent vegetative state treated in a labor and delivery suite.

    abstract::Two cases of maternal vegetative state after motor vehicle accidents are presented. Aggressive support allowed the prolongation of both pregnancies into the third trimester without neonatal compromise. After initial medical stabilization in intensive care unit environments, both patients were treated in a labor and de...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2006.01.077

    authors: Chiossi G,Novic K,Celebrezze JU,Thomas RL

    更新日期:2006-07-01 00:00:00

  • HLA-G expression in trophoblast cells circulating in maternal peripheral blood during early pregnancy.

    abstract:OBJECTIVE:The aim of this study was to assess the use of circulating trophoblast cells in maternal peripheral blood for noninvasive prenatal diagnosis of numeric chromosomal aberrations. STUDY DESIGN:A combined procedure for immunocytochemical identification and deoxyribonucleic acid fluorescence in situ hybridization...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2001.112973

    authors: van Wijk IJ,Griffioen S,Tjoa ML,Mulders MA,van Vugt JM,Loke YW,Oudejans CB

    更新日期:2001-04-01 00:00:00

  • Patterns of gestational weight gain and birthweight outcomes in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Fetal Growth Studies-Singletons: a prospective study.

    abstract:BACKGROUND:Inadequate or excessive total gestational weight gain is associated with increased risks of small- and large-for-gestational-age births, respectively, but evidence is sparse regarding overall and trimester-specific patterns of gestational weight gain in relation to these risks. Characterizing the interrelati...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ajog.2017.05.013

    authors: Pugh SJ,Albert PS,Kim S,Grobman W,Hinkle SN,Newman RB,Wing DA,Grantz KL

    更新日期:2017-09-01 00:00:00

  • The use of nifedipine during the postpartum period in patients with severe preeclampsia.

    abstract::Nifedipine is a calcium channel blocker that reduces blood pressure and increases renal blood flow. This double-blind investigation evaluated the effect of nifedipine in postpartum patients with severe preeclampsia. Thirty-one patients were randomized to receive either nifedipine (10 mg) or placebo every 4 hours begin...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0002-9378(90)91011-z

    authors: Barton JR,Hiett AK,Conover WB

    更新日期:1990-03-01 00:00:00

  • Statistical comparison of Pearl rates.

    abstract::Statistical procedures for hypothesis testing and interval estimation of the difference in a pair of Pearl rates are presented. The p value of the test statistic is evaluated exactly from the binomial distribution or approximately from the standard normal distribution. Interval estimation is provided by the test-based...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/0002-9378(85)90158-9

    authors: Higgins JE,Wilkens LR

    更新日期:1985-03-01 00:00:00

  • Buserelin versus danazol in the treatment of endometriosis-associated infertility.

    abstract::A total of 62 infertile women with a laparoscopic diagnosis of endometriosis were allocated randomly to two treatment groups, one of which (32 patients) received oral danazol 600 micrograms/day and the other (30 patients) received intranasal buserelin 1200 micrograms/day for 6 months. Suppression of serum levels of es...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0002-9378(89)90739-4

    authors: Fedele L,Bianchi S,Arcaini L,Vercellini P,Candiani GB

    更新日期:1989-10-01 00:00:00

  • Fetal cystic hygroma colli: antenatal diagnosis, significance, and management.

    abstract::Twenty-four cases of fetal cystic hygroma colli were diagnosed by ultrasound. In two patients, the diagnosis was not confirmed at autopsy. Ten of these were cases of Turner's syndrome, one was a case of Turner's mosaicism, three had other aneuploidies, four had normal chromosomes, and six had a failed chromosome cultu...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(86)90643-5

    authors: Garden AS,Benzie RJ,Miskin M,Gardner HA

    更新日期:1986-02-01 00:00:00

  • The effect of magnesium sulfate on fetal heart rate parameters: A randomized, placebo-controlled trial.

    abstract:OBJECTIVE:We sought to determine the effect of magnesium sulfate on fetal heart rate baseline value, variability, and acceleration-deceleration pattern. STUDY DESIGN:Normal, nonlaboring pregnant patients at >30 weeks' gestation were recruited. Baseline fetal heart rate monitoring for 1 hour was performed. After an 800...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0002-9378(99)70093-1

    authors: Hallak M,Martinez-Poyer J,Kruger ML,Hassan S,Blackwell SC,Sorokin Y

    更新日期:1999-11-01 00:00:00

  • Trend analysis of the symptoms of 150 women with a history of the premenstrual syndrome.

    abstract::The daily symptom records of 150 untreated women with a convincing history of the premenstrual syndrome were investigated qualitatively and quantitatively by means of time series analysis in the form of Trigg's technique for trends. Symptoms were monitored with use of a modified menstrual distress questionnaire. Analy...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(86)90808-2

    authors: Magos AL,Brincat M,Studd JW

    更新日期:1986-08-01 00:00:00

  • Congenital limb reduction deformities and use of oral contraceptives.

    abstract::A study of congenital limb deficiencies in two Australian states indicated that use of an oral contraceptive during pregnancy by the mother was associated with an increased risk of limb defect in the child. The study included mothers of 155 children born with absence or reduction of the major long bones during a 12-ye...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(86)90352-2

    authors: Kricker A,Elliott JW,Forrest JM,McCredie J

    更新日期:1986-11-01 00:00:00

  • Obstetrician-gynecologists performing genetic amniocentesis may be misleading themselves and their patients.

    abstract:OBJECTIVE:Our purpose was to compare midtrimester amniocentesis-related fetal loss rates between obstetrician-gynecologists and perinatologists. STUDY DESIGN:This cohort study analyzes 1384 midtrimester amniocenteses from January 1, 1996, to December 31, 1999. Obstetrician-gynecologists who split their practices betwe...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2001.115049

    authors: Blessed WB,Lacoste H,Welch RA

    更新日期:2001-06-01 00:00:00

  • Fetal umbilical artery Doppler response to graded maternal aerobic exercise and subsequent maternal mean arterial blood pressure: predictive value for pregnancy-induced hypertension.

    abstract::Predictive tests for the identification of women at high risk of the development of preeclampsia are critical to allow the most appropriate preventive measures. Preeclampsia is a vasospastic condition of pregnancy characterized by early and enhanced vascular reactivity to endogenous pressor agents. Exercise tolerance ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(90)91077-p

    authors: Hume RF Jr,Bowie JD,McCoy C,Magarelli PC,Gall M,Hertzberg BS,Carroll BA,Killam AP

    更新日期:1990-09-01 00:00:00

  • Patterns of congenital anomalies and relationship to initial maternal fasting glucose levels in pregnancies complicated by type 2 and gestational diabetes.

    abstract:OBJECTIVES:We sought to determine the types of congenital anomalies affecting infants of women with gestational diabetes mellitus or type 2 diabetes and to examine the relationship between those malformation types and measures of initial glycemia of women at entry into prenatal care with type 2 diabetes or at time of d...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(00)70217-1

    authors: Schaefer-Graf UM,Buchanan TA,Xiang A,Songster G,Montoro M,Kjos SL

    更新日期:2000-02-01 00:00:00

  • Evaluation of quantitative ultrasound tissue characterization of the cervix and cervical length in the prediction of premature delivery for patients with spontaneous preterm labor.

    abstract:OBJECTIVE:This study was to evaluate the predictive value of the uterine cervix tissue with the use of quantitative ultrasound gray level analysis for preterm delivery. STUDY DESIGN:Sixty-eight patients with preterm labor between 20 and 35 weeks of gestation were included. When two-dimensional transvaginal ultrasound ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/s0002-9378(03)00488-5

    authors: Tekesin I,Hellmeyer L,Heller G,Römer A,Kühnert M,Schmidt S

    更新日期:2003-08-01 00:00:00

  • Effects of nomegestrol acetate on spontaneous and sulprostone-induced uterine contractions in pregnant cynomolgus monkeys monitored by telemetry.

    abstract:OBJECTIVE:Our purpose was to study the effects of the progestomimetic compound nomegestrol acetate on spontaneous and sulprostone-induced uterine contractility in pregnant cynomolgus monkeys. STUDY DESIGN:Intrauterine pressure was continuously monitored with use of an implanted intraamniotic catheter and a telemetric ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(98)70643-x

    authors: Carbonne B,Cabrol D,Clerget MS,Germain G

    更新日期:1998-01-01 00:00:00

  • Validating a clinical measure of levator hiatus size.

    abstract:OBJECTIVE:We evaluate the interrater reliability of levator hiatus (LH) size and correlate size to other measures of muscle function. STUDY DESIGN:Participants were examined independently by 2 examiners. During maximal contraction of the levator ani, the muscle was assessed by using Brink's scale. The LH was measured ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2006.08.028

    authors: Boyles SH,Edwards SR,Gregory WT,Denman MA,Clark AL

    更新日期:2007-02-01 00:00:00

  • Molluscum contagiosum venereum in a women's outpatient clinic: a venereally transmitted disease.

    abstract::Molluscum contagiosum in a venereal distribution (MCV) was identified as an incidental finding in 14 patients in a women's outpatient clinic at a general hospital. The lesions were frequently overlooked both by patients and physicians. The lesions of MCV are frequently asymptomatic. The sexual history of the patients ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(77)90037-0

    authors: Wilkin JK

    更新日期:1977-07-01 00:00:00

  • Peritoneal serous papillary carcinoma, a phenotypic variant of familial ovarian cancer: implications for ovarian cancer screening.

    abstract:OBJECTIVE:Our purpose was to report the cancers arising during a familial ovarian cancer screening program and investigate the tumor's clonality and association with BRCA1 and BRCA2 mutations. STUDY DESIGN:Program participants with a diagnosis of ovarian cancer or peritoneal serous papillary carcinoma were identified ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(99)70663-0

    authors: Karlan BY,Baldwin RL,Lopez-Luevanos E,Raffel LJ,Barbuto D,Narod S,Platt LD

    更新日期:1999-04-01 00:00:00

  • Immunologic infertility. I. Cervical mucus antibodies and postcoital test.

    abstract::SAA and SIA were assayed in the sera of 172 infertile couples and in the CM of the women and 18 control subjects. Complete infertility evaluation was performed in all subjects except the controls. Results of these studies were correlated with PCT's. Sperm antibodies were detected in the CM of 25.6% of infertile women ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Moghissi KS,Sacco AG,Borin K

    更新日期:1980-04-01 00:00:00

  • Amniotic fluid embolism: diagnosis and management.

    abstract:OBJECTIVE:We sought to provide evidence-based guidelines regarding the diagnosis and management of amniotic fluid embolism. STUDY DESIGN:A systematic literature review was performed using MEDLINE, PubMed, EMBASE, and the Cochrane Library. The search was restricted to English-language articles published from 1966 throu...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.ajog.2016.03.012

    authors: Society for Maternal-Fetal Medicine (SMFM). Electronic address: pubs@smfm.org.,Pacheco LD,Saade G,Hankins GD,Clark SL

    更新日期:2016-08-01 00:00:00

  • Interferon responses in maternal and fetal mice.

    abstract::The kinetics of maternal-fetal interferon and a chemical interferon inducer were studied in Swiss-Webster white mice at 8, 15, and 19 days of gestation. Crude interferon was administered by maternal tail vein injection to one group. There was no transfer of interferon to the fetus despite high maternal levels. A chemi...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(85)80189-7

    authors: Evans AT,Carandang G,Quilligan EJ,Cesario TC

    更新日期:1985-05-01 00:00:00

  • A multicenter controlled trial of fetal pulse oximetry in the intrapartum management of nonreassuring fetal heart rate patterns.

    abstract:OBJECTIVE:Recent developments permit the use of pulse oximetry to evaluate fetal oxygenation in labor. We tested the hypothesis that the addition of fetal pulse oximetry in the evaluation of abnormal fetal heart rate patterns in labor improves the accuracy of fetal assessment and allows safe reduction of cesarean deliv...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1067/mob.2000.110632

    authors: Garite TJ,Dildy GA,McNamara H,Nageotte MP,Boehm FH,Dellinger EH,Knuppel RA,Porreco RP,Miller HS,Sunderji S,Varner MW,Swedlow DB

    更新日期:2000-11-01 00:00:00

  • Identifying the safety profile of a novel infectivity-enhanced conditionally replicative adenovirus, Ad5-delta24-RGD, in anticipation of a phase I trial for recurrent ovarian cancer.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the biodistribution and toxicity of the tropism-modified infectivity-enhanced conditionally replicative adenovirus, Ad5-delta24-arginine-glycine-aspartate (RGD). STUDY DESIGN:Cohorts of cotton rats were treated intravenously or intraperitoneally for 3 consecutive day...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2006.12.016

    authors: Page JG,Tian B,Schweikart K,Tomaszewski J,Harris R,Broadt T,Polley-Nelson J,Noker PE,Wang M,Makhija S,Aurigemma R,Curiel DT,Alvarez RD

    更新日期:2007-04-01 00:00:00

  • Objectivized diagnosis of acute pelvic inflammatory disease. Diagnostic and prognostic value of routine laparoscopy.

    abstract::At the University Hospital, Lund, Sweden, laparoscopy has been routinely used as a diagnostic aid in cases for acute pelvic inflammatory disease since 1960. No significant complications have been encountered. The material of the study comprises 905 cases covering an 8 year period, 1960-1967. The operation was alway...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(69)90132-x

    authors: Jacobson L,Weström L

    更新日期:1969-12-01 00:00:00