Membranların Prematüre Rüptürü (PPROM) Tanısı Konan Hastalarda Ürogenital Enfeksiyonları Ve Bunların Perinatal Sonuçlar Üzerindeki Etkilerini Araştırmak.

Öz

ABSTRACT: Objective: To Investigate Urogenital Infections In Patients Diagnosed With Preterm Premature Rupture Of The Membranes (PPROM) And Their Impact On Perinatal Outcomes. Material and Method: This retrospective study was conducted at the Perinatology Clinic of Ankara Bilkent City Hospital between June 2020 and December 2023 and included 250 patients diagnosed with PPROM who were followed up and treated in the high-risk pregnancy Vaginal and urine cultures were obtained from each patient, and the impact of culture positivity on perinatal outcomes was assessed. Results: Among these, 72 patients tested positive on culture, while 178 tested negative. Of the obtained vaginal cultures, 46 patients were identified as culture-positive. Among these culture-positive cases, Candida was detected in 36 patients(78%).Additionally, 32 patients had positive results on urine culture. The distribution of microorganisms in urine cultures revealed that 21 patients (65%) had results indicating diverse species. Membrane rupture was found to occur at significantly earlier weeks in those with a positive culture test (p<0.05) and the latent period was longer in those with a positive culture test (p<0.001). While the gestational age at delivery was significantly smaller in the culture positive group compared to the culture negative group (p<0.05), the NICU admission was significantly higher (p:0.05).In the sperman correlation test, a positive correlation was found between culture positivity and NICU admission (r;0.155, p:0.05). Conclusion: In conclusion, candida is the most common microorganism detected in urogenital infections and urogenital infections cause preterm delivery in the early weeks and increase neonatal intensive care unit admission.

Anahtar Kelimeler

• Candida
• Preterm Premature Rupture of Membranes
• Ürogenital kültür

To Investigate Urogenital Infections In Patients Diagnosed With Preterm Premature Rupture Of The Membranes (PPROM) And Their Impact On Perinatal Outcomes.

Öz

Objective: To Investigate Urogenital Infections In Patients Diagnosed With Preterm Premature Rupture Of The Membranes (PPROM) And Their Impact On Perinatal Outcomes. Material and Method: This retrospective study was conducted at the Perinatology Clinic of Ankara Bilkent City Hospital between June 2020 and December 2023 and included 250 patients diagnosed with PPROM who were followed up and treated in the high-risk pregnancy Vaginal and urine cultures were obtained from each patient, and the impact of culture positivity on perinatal outcomes was assessed. Results: Among these, 72 patients tested positive on culture, while 178 tested negative. Of the obtained vaginal cultures, 46 patients were identified as culture-positive. Among these culture-positive cases, Candida was detected in 36 patients(78%).Additionally, 32 patients had positive results on urine culture. The distribution of microorganisms in urine cultures revealed that 21 patients (65%) had results indicating diverse species. Membrane rupture was found to occur at significantly earlier weeks in those with a positive culture test (p<0.05) and the latent period was longer in those with a positive culture test (p<0.001). While the gestational age at delivery was significantly smaller in the culture positive group compared to the culture negative group (p<0.05), the NICU admission was significantly higher (p:0.05).In the sperman correlation test, a positive correlation was found between culture positivity and NICU admission (r;0.155, p:0.05). Conclusion: In conclusion, candida is the most common microorganism detected in urogenital infections and urogenital infections cause preterm delivery in the early weeks and increase neonatal intensive care unit admission. . Keywords: Candida, preterm premature rupture of the membranes, vaginal culture

Anahtar Kelimeler

• Candida
• membranların erkan rüptürü,
• ürogenital kültür

Kaynakça

1. 1 Mercer, B.M., Preterm premature rupture of the membranes: current approaches to evaluation and management. Obstet Gynecol Clin North Am, 2005. 32(3): p. 411-28. 2. van der Heyden, J.L., Preterm prelabor rupture of membranes: different gestational ages, different problems. 2014. 3. Smith, G., et al., Prevalence, management, and outcomes of preterm prelabour rupture of the membranes of women in Canada. J Obstet Gynaecol Can, 2005. 27(6): p. 547-53.