Estudio de corioamnionitis por cultivo de membranas coriales en gestantes con ruptuta prolangada de membranas ovulares en el Hospital Provincial General Isidro Ayora de Loja, periodo julio 2013-julio 2014.

The present work intends to determine the presence of choriamnionitis in pregnant women with extended membrane rupture, by cultivating a sample of those membranes. The study rakes place in Isidro Ayora Provincial Hospital of Loja in the period of July 2013 to July 2014; In addition, to identify risk factors associated to extended membrane rupture and chorioamnionitis; determine the percentage of patients who show clinical parameters of chorioamnionitis and its relation with positive cultives for this pathology; Establish the way of termination of pregnancy; identify the germ related with amniotic infection, and finally identify polymorphonuclear cells in placenta samples. It is a descriptive, analytic, cross-sectional cohort study. The population settles 60 hospitalized patients, with membranes rupture for more than 12 hours. The samples, of coria membranes were cultivated; and the placentae samples. Were studied in search of polymorphonuclear cells. The date was recollected in a template and processed in SPSS, statistic package: the results were, the 40 % of the patients with. Extended membrane rupture, were between the ages of 15 to 21 years; 53.3% of patients lived in the urban area. The 46.7% first pregnanges. 43.3% were single. The 61.7% were first pregnancy. A 60% have had more than two sexual partners. The most affected gestational age was between 32 and 34 weeks with a 36.7%. With 5 to 7 prenatal pregnant were more related to the 31.7%. Cervicovaginal infections and urinary tract was not observed in these patients in 60% and 55% respectively. The length of time of premature rupture of membranes and chorioamnionitis was 50% in less than 24 hours. Lto clinical symptomatology, the largest number of cases presented chorioamnionitis, in turn had a positive culture for pathogens in the placenta. 65% term pregnancy by Cesarean section. Positive cultures were 68.3%, being the Echerichi Coli the most common bacterium with the 87.8%. The placentas with positive polymorphonuclear were 66.7%. As conclusion we would say that a large number (41) presented positive cultures, 65% finish their gestation by caesarean section; the bacteria that was more isolated was Echerichia Coli and positive polymorphonuclear in placenta was 66.7%. It is recommended therefore, promoting new lines of research about current treatments of chorioamnionitis; promote the cultivation of membranes ovularesa order to confirm the diagnosis of chorioamnionitis. Keywords: Premature of membranes, chorioamnionitis, membranes rupture ovular, placenta, polymorphonuclear, infection, and pathogen.

• Prif Awdur: Espinoza Vásquez, Juan Alejandro (author)
• Fformat: masterThesis
• Iaith: spa
• Cyhoeddwyd: 2014
• Pynciau: RUPTURA - MEMBRANAS; CORIOAMNIONITIS
• Mynediad Ar-lein: http://dspace.unl.edu.ec/jspui/handle/123456789/18841