The microbiologic effect of digital cervical examination

Objective & Hypothesis:Objective: The purpose of this study was to determine whether digital examination introduces vaginal organisms into the cervix.

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Key Findings & Data:Study Design: Thirty-five women with reported ruptured membranes at >34 week gestation underwent a sterile speculum examination and a standardized, semiqualitaiive, semiquantitative endocervical culture before and immediately after digital examination.

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Conclusion & Impact:Conclusion: An immediate effect of digital examination is the introduction of vaginal organisms into the cervical canal.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Yırtık · Gebelik · Serviks uteri

Abstract

Objective: The purpose of this study was to determine whether digital examination introduces vaginal organisms into the cervix. Study Design: Thirty-five women with reported ruptured membranes at >34 week gestation underwent a sterile speculum examination and a standardized, semiqualitaiive, semiquantitative endocervical culture before and immediately after digital examination. Results: Cultures taken before digital examination demonstrated a mean of 2.8$pm$1.7 different types of organisms, whereas cultures taken after digital examination demonstrated a mean of 4.4$pm$1.5 different types of organisms (p<0.0001). Twenty eight patients (80%) had heavier growth or a greater number of different organisms in the post examination culture than in the pre examination culture. The state of the fetal membranes (ruptured as opposed to intact) did not alter these relations. Conclusion: An immediate effect of digital examination is the introduction of vaginal organisms into the cervical canal.

Özet

Amaç : Bu çalışmanın amacı dijital muayene ile vajinal mikroorganizmaların servikse penetrasyonunu tanımlamaktı. Gereç ve Yöntem: Dijital servikal muayeneden önce ve sonra steril spekulum ile muayene edilip standardize edilen semikalitatif ve semikantitatif endoservikal kültür alınan, memhranları rupture 34 haftalık veya daha geç gebelik haftasına sahip 35 hasta çalışmaya dahil edildi. Bulgular: Digital muayeneden önce alınan kültürlerde 2.8±1.7 değişik tipte organizma tanımlanmıştır. Buna karşılık dijital muayenedn sonra 4.4+1.5 değişik mikroorganizma tanımlanmıştır (p<O.OOO1). Muayeneden sonra alman kültürlerde 28 hastada (%80) daha yüksek miktarda ve değişik tipte mikroorganizmaya rastlanmıştır. Fetal membranların durumunun (rupture veya intakt) bu ilişkiye etkisi yoktur. Sonuç: Vajinadan servikal kanala mikroorganizma girişine dijital muayenenin ani bir etkisi vardır.

Keywords

Yırtık Gebelik Serviks uteri Rupture Pregnancy Cervix Uteri

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Cite This Article

VAROLAN, A., YAZGAN, A., ARIÖZ, A., ALTIN, A. A., DAVAS, İ. (2003). The microbiologic effect of digital cervical examination. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 37 - Sayı: 1, 13–16. https://ajindex.com/articles/363917

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