Infectious Diseases in Obstetrics and Gynecology

Infectious Diseases in Obstetrics and Gynecology / 2003 / Article

Open Access

Volume 11 |Article ID 653942 |

Craig R. Cohen, Lisa Gravelle, Samwel Symekher, Peter Waiyaki, Walter E. Stamm, Julia A. Kiehlbauch, "Etiology of Persistent Tubo-Ovarian Abscess in Nairobi, Kenya", Infectious Diseases in Obstetrics and Gynecology, vol. 11, Article ID 653942, 7 pages, 2003.

Etiology of Persistent Tubo-Ovarian Abscess in Nairobi, Kenya

Received14 Jun 2002
Accepted05 Dec 2002


Objective To study the microbial etiology of tubo-ovarian abscess (TOA).Methods We recruited 11 women in Nairobi, Kenya who failed antibiotic therapy alone and required surgical drainage of a presumptive TOA. Pus from the nine abscesses and two pyosalpinges were collected and cultured for aerobic, facultative and anaerobic microorganisms.Results Eleven women suspected of having a TOA were hospitalized and treated for a median of 6 days (range 3–14 days) prior to surgical drainage of the abscess. Nine (82%) specimens were culture positive. Aerobes were present in all nine specimens. Seven of the nine positive cultures (78%) were polymicrobial and five of the polymicrobial cultures contained both anaerobes and aerobes. Anaerobic Gram-negative bacilli (Prevotella sp., Porphyromonas sp. and Bacteroides sp., Escherichia coli ) and Streptococcus sp. ( S. viridans and S. agalactiae) were the most common microorganisms isolated. Neisseria gonorrhoeae and Chlamydia trachomatis were not isolated by culture or detected by polymerase chain reaction.Conclusions In Kenya, persistent TOAs are associated with endogenous flora similar to that normally found in the gastrointestinal tract.

Copyright © 2003 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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