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Cited by 52Neonatal and Maternal InfectionsMaternal and Perinatal Health InterventionsSepsis Diagnosis and Treatment

Causes of puerperal and neonatal sepsis in resource-constrained settings and advocacy for an integrated community-based postnatal approach

Miller, Anne E., Morgan, Christopher, Vyankandondera, Joseph·2013·International Journal of Gynecology & Obstetrics
DOI 10.1016/j.ijgo.2013.06.006
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Abstract

Background Puerperal sepsis and neonatal sepsis are important causes of mortality and morbidity in low-income countries. Objectives To help improve global guidelines on postpartum care by reviewing existing data on microbiologic causes of sepsis among mothers, newborns, and mother-newborn pairs. Search strategy An extensive literature review of peer-reviewed publications from resource-constrained settings was conducted using PubMed. Selection criteria Primary research studies containing microbiologic data on puerperal sepsis or combined maternal and neonatal sepsis published since 1980. Data collection and analysis Study characteristics and results were analyzed. Data regarding causative microorganisms were tabulated and discussed in the main text. Main results Diagnostic evaluation of microorganisms causing puerperal sepsis was difficult, with few studies linking microorganisms causing infection in individual mother-newborn pairs. The most frequent microorganisms associated with puerperal sepsis were Neisseria gonorrhoeae and Chlamydia trachomatis. The most frequent microorganisms associated with neonatal sepsis were Escherichia coli, Staphylococcus aureus, and Klebsiella species. Conclusions Management tools for community-based care of mothers with puerperal sepsis-including early detection, initiation of broad-spectrum antibiotic treatment, and timely referral-should be added to those currently in use for neonatal sepsis. Further research is required to address acceptabili…

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  • In low-resource settings, differences in antibiotic prophylaxis and treatment, cesarean delivery practices, HIV prevalence, access to microbiology testing, antimicrobial stewardship and infection control practices may lead to differences in infection incidence, microbiology, and antimicrobial resistance.

    “In low-resource settings, differences in antibiotic prophylaxis and treatment, cesarean delivery practices, human immunodeficiency virus (HIV) prevalence, access to microbiology testing, antimicrobial stewardship and infection control practices may lead to differences in infection incidence, microbiology, and antimicrobial resistance.[4, 5, 9, 10]”

    From Antimicrobial-resistant infections among postpartum women at a Ugandan referral hospital (2017) · cites this paper as [10]

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Authors
Miller, A. E., Morgan, C., & Vyankandondera, J.
Affiliations
Burnet Institute (AU)
Corresponding author
Miller, Anne E.
Venue
International Journal of Gynecology & Obstetrics
Publisher
Wiley
Published
2013-07-05
Volume
123
Issue
1
Pages
10-15
ISSN
  • 0020-6695 (ISSN-L)
  • 0020-7292
  • 1879-3479
DOI
10.1016/j.ijgo.2013.06.006
OpenAlex
W2062278265
Cited by
52
References
26
Citations by year
2026: 1 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 34 · 2018: 1 · 2017: 2 · 2015: 2 · 2014: 1
FWCI
1.03
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • International Journal of Gynecology & Obstetrics (publishedVersion)
  • PubMed (publishedVersion)
Funders
Compass - The Women's and Children's Health Knowledge Hub
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Neonatal and Maternal Infections
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
Keywords
puerperal fever, neonatal sepsis, causative organisms, Neisseria gonorrhoeae, Chlamydia trachomatis, Escherichia coli, Staphylococcus aureus, Klebsiella, resource-limited settings, low-income countries
MeSH terms
Anti-Bacterial Agents, Community Health Services, Developing Countries, Female, Humans, Infant, Newborn, Pregnancy, Puerperal Infection, Global Health, Practice Guidelines as Topic, Sepsis, Delivery of Health Care, Integrated

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