EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

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Abstract

PUERPERAL SEPSIS AT USMANU DANFODIYO UNIVERSITY TEACHING HOSPITAL, SOKOTO: A TEN YEAR REVIEW

Bilal Sulaiman*, Karima Abubakar Tunau, Sadiya Nasir, Mairo Hassan and Yakubu Ahmed

ABSTRACT

Background: Puerperal sepsis, an infection of the genital tract following childbirth is among the leading causes of maternal morbidity and mortality. Developing countries are the worst affected. It occurs as intrauterine infection preceding or during labour (clinical chorioamnionitis) and early postpartum infection following child birth (postpartum endometritis). Objectives: To determine the incidence of puerperal sepsis, organisms and sensitivity pattern as well as morbidity and mortality associated with puerperal sepsis. Materials and method: This was a 10 year retrospective cohort study of women managed for puerperal sepsis from January, 2008 to December, 2017. Records of women with puerperal sepsis were obtained from the postnatal and labour wards, operating theatre, accident and emergency unit and medical records. Data entry and analysis was done with IBM SPSS v23. Results: The incidence of puerperal sepsis was 0.9% and the mean age of the women was 26.2 ± 5.4 years. The modal parity was 1 and 84.9% of the women had no antenatal care. The most common organism isolated was Staphylococcus aureus, 13.6% and ceftriaxone 10.1% was the most sensitive antibiotic. Anaemia 6.2% was the most common morbidity and maternal mortality was 15.1%. Conclusion: The incidence of puerperal sepsis is low from this study. While majority of the women did not have any complication, mortality due to puerperal sepsis is high. Culture and sensitivity of causative organisms will be worthwhile for individualised treatment.

Keywords: Puerperium, Sepsis, Sokoto.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia