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Vancomycin-Resistant Enterococci and Extended-Spectrum β-Lactamase-Producing Bacterial Colonization of the Cervix after Emergency Cerclage: Is It Safe?

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Author(s)
Won-Kyu JangJin-Gon Bae
Keimyung Author(s)
Jang, Won KyuBae, Jin Gon
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Journal Title
Antibiotics (Basel)
Issued Date
2021
Volume
10
Issue
8
Keyword
vancomycin-resistant enterococciVREextended-spectrum beta-lactamasecerclagecervicalcervix incompetence
Abstract
Antimicrobial resistance is currently becoming a global threat to human health. We performed a retrospective study on patients who underwent emergency cerclage between January 2016 and December 2018 at the Dongsan Medical Center. Cervical culture was first performed before surgery to confirm that there was no infection and was repeated on days 1, 4, and 7 after surgery. A total of 85 pregnant women underwent emergency cerclage. Among them, six patients had vancomycin-resistant enterococci (VRE) colonization in the cervix after cerclage, and 23 patients developed extended-spectrum β-lactamase (ESBL)-producing bacterial colonization in the cervix. The average gestational age at delivery was lower in the VRE group. Neonatal death was also significantly higher in the VRE group. The rate of occurrence of early-onset sepsis was also higher in the VRE group, and both VRE and ESBL-producing bacterial colonization cases in which early-onset sepsis occurred resulted in neonatal death. The prognosis of cervical VRE colonization after cervical surgery was poor, whereas the prognosis of ESBL-producing bacterial colonization in the cervix did not differ significantly from that of the control group. However, careful neonatal treatment is required considering that early-onset sepsis is fatal to the newborn.
Keimyung Author(s)(Kor)
장원규
배진곤
Publisher
School of Medicine (의과대학)
Citation
Won-Kyu Jang and Jin-Gon Bae. (2021). Vancomycin-Resistant Enterococci and Extended-Spectrum β-Lactamase-Producing Bacterial Colonization of the Cervix after Emergency Cerclage: Is It Safe? Antibiotics (Basel), 10(8), 933. doi: 10.3390/antibiotics10080933
Type
Article
ISSN
2079-6382
Source
https://www.mdpi.com/2079-6382/10/8/933
DOI
10.3390/antibiotics10080933
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43928
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
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