The Importance of Individual Clinical and Laboratory Indicators in the Differential Diagnosis of Postpartum Septic Complications

dc.contributor.authorVamsi, Varahabhatla
dc.contributor.authorTekwani, Vinisha
dc.contributor.authorIvanovich, Pavliuchenko Myhaelo
dc.date.accessioned2021-11-20T10:27:19Z
dc.date.available2021-11-20T10:27:19Z
dc.date.issued2018
dc.departmentTrakya Üniversitesien_US
dc.description.abstractAims: To perform a comparative analysis of individual clinical and laboratory indicators in the differential diagnosis of conditionally limited and generalized forms of postpartum septic complications.Methods: The study included 34 patients at Gynecology Department of the Zaporizhzhia Regional Clinical Hospital from 2013 to 2016 with postpartum purulent-septic diseases. Patients were divided into 2 groups. Group I consisted of 15 women who were diagnosed with a conditionally limited postpartum purulent-inflammatory disease (endometritis). Group II included 19 women with generalized forms of postpartum purulent-inflammatory diseases (peritonitis, sepsis). For the diagnosis of Multiple Organ Failure due to sepsis, we used the Sequential (Sepsis-Related) Organ Failure Assessment and quick Sequential (Sepsis-Related) Organ Failure Assessment. The differences between the first and second group were assessed by using the Mann-Whitney U test and STATISTICA Version 10. Results: Body temperature was increased in all 34 patients. The average heart rate in group I was 91.6 ± 8.35 beats/ min and 102.26 ± 16.42 beats/min in group II. The average respiratory rate was 19.07 ± 2.49 breaths/min in group I and 24.16 ± 5.09 breaths/min in group II. In group I, none of the patients scored a total of two or more points on the Sequential (Sepsis-Related) Organ Failure Assessment and quick Sequential (Sepsis-Related) Organ Failure Assessment scales; in group II, there were 5 (26.32%) patients who had scored two points or more on the Sequential (Sepsis-Related) Organ Failure Assessment scale; and 2 (10.53%) patients had scored 2 points or more in the quick Sequential (Sepsis-Related) Organ Failure Assessment scale. Conclusion: Clinical cases of postpartum period with inflammation of uterus and signs of multiple organ failure should be; regarded as a septic state, assessed by the Sequential (Sepsis-Related) Organ Failure Assessment scale as they require urgent medical help.en_US
dc.identifier.dergipark439373en_US
dc.identifier.endpage42en_US
dc.identifier.issn2148-4724
dc.identifier.issn2548-0030
dc.identifier.issue2en_US
dc.identifier.startpage37en_US
dc.identifier.urihttps://dergipark.org.tr/tr/pub/tmsj/issue/38047/439373
dc.identifier.urihttps://dergipark.org.tr/tr/download/article-file/498622
dc.identifier.urihttps://hdl.handle.net/20.500.14551/6329
dc.identifier.volume5en_US
dc.language.isoenen_US
dc.publisherTrakya Üniversitesien_US
dc.relation.ispartofTurkish Medical Student Journalen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Başka Kurum Yazarıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPostpartum perioden_US
dc.subjectendometritisen_US
dc.subjectsepsisen_US
dc.subjectperitonitisen_US
dc.subjectmultiple organ failureen_US
dc.titleThe Importance of Individual Clinical and Laboratory Indicators in the Differential Diagnosis of Postpartum Septic Complicationsen_US
dc.typeArticleen_US

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