Prevalence and Clinical Significance of Streptococcus dysgalactiae subspecies equisimilis (Groups C or G Streptococci) Colonization in Pregnant Women: A Retrospective Cohort Study
Table 3
Case by case analysis of the Streptococcus G or C positive patients with endometritis.
Patient
Mode of delivery
Gestational age
Days from delivery to first symptoms
Leukocyte (max.)
CRP (max.)
i.v antibiotics
p.o antibiotics
Infant
1
vaginal
42+1
10
13.1
59.5
-
7–10
No signs of infection. CRP 4.7, leuk 16.
2
vaginal
41+1
12
15.3
8.0
-
7–10
No signs of infection. CRP 3.3, leuk 12.7.
3
vaginal
37+3
5
18
225
5
7
No signs of infection. No laboratory tests.
4
acute CS
35+5
6
16.4
267
8
7
No signs of infection. No laboratory tests.
5
vaginal
38+2
7
17.4
11.8
-
7–10
No signs of infection. No laboratory tests.
6
vaginal
40+0
12
5.9
13.7
-
7–10
No signs of infection. CRP 2.7, leuk 13.3.
7
vaginal
39+6
3
10.8
173
2
7
No signs of infection. No laboratory tests.
8
planned CS twins
37+2
20
3.3
234
3
7
A: NICU 9 days, iv. G-pen + Tomycin. CRP 39, Neutropenia.
B: NICU 15 days, iv G-pen + Tomycin. CRP 36, Neutropenia.
9
vaginal
40+5
3
13.0
94.9
3
7
No signs of infection. CRP 9.2, leuk 17.6.
10
vaginal
39+4
5
13.0
70.5
5
7
No signs of infection. CRP < 1, leuk 11.7.
11
vaginal
39+6
5
14.7
102
3
7
No signs of infection. No laboratory tests.
12
vaginal
41+0
3
14.8
146
2
10
No signs of infection. No laboratory tests.
13
vaginal
39+3
4
8.6
182.9
3
7
No signs of infection. No laboratory tests.
14
vaginal
41+0
4
14.2
159
4
7
No signs of infection. CRP 5.1, leuk 22.6.
15
vaginal
39+3
4
14
96.7
4
7
No signs of infection. No laboratory tests.
16
vaginal
35+4
12
8.9
56
-
7–10
No signs of infection. CRP 1.6, leuk 18.4.
17
vaginal
40+4
4
16.1
146
-
7–10
No signs of infection. CRP 3.1, leuk 21.4.
18
vaginal
37+1
4
16.9
147
3
7
No signs of infection. No laboratory tests.
Duration (days). I.v. antibiotics = intravenous antibiotic treatment, usually cefuroxime 1.5 g and metronidazole 500 mg three times per day. P.o. antibiotics = orally antibiotic treatment, usually cephalexin 500 mg and metronidazole 500 mg three times per day. CS, cesarean section; CRP, C-reactive protein; leuk, leukocyte; NICU, neonatal intensive care unit.
