Title: Use of laparoscopy to determine the microbiologic etiology of acute salpingitis.

POPLINE Document Number: 018111

Author(s):

Sweet RL
Mills J
Hadley KW
Blumenstock E
Schachter J
Robbie MO
Draper DL

Source citation:

American Journal of Obstetrics and Gynecology, 1979 May 1;134(1):68-74.

Abstract:

To determine the microbiologic etiology of acute salpingitis, laparoscopy was used in 26 patients to obtain specimens for a variety of microorganisms directly from the fallopian tubes. Simultaneous culdocentesis was performed to obtain peritoneal fluid for microbiologic analysis. A variety of microorganisms were isolated from the fallopian tubes and cul-de-sac aspirate. However, the organisms isolated from the fallopian tube were not consistent with the cul-de-sac isolates. It appears that direct culture from the fallopian tube may be necessary to determine the microbiologic etiology and pathogenesis of acute salpingitis. N. gonorrhoeae was isolated from the cul-de-sac in 32% of cases and the fallopian tube in 19%. In patients with endocervical gonorrhea, the gonococcus was isolated from the fallopian tube in 38.5% of the cases. Aerobic and/or anaerobic bacteria were present in the cul-de-sac aspirate in 46% of patients and in the fallopian tube in 38%. (author's)

Keywords:

Laparoscopy
Examinations and Diagnoses
Pelvic Infections
Laboratory Procedures
Histology
Treatment
Infections
Age Factors
Parity
Blacks
Whites
Endoscopy
Physical Examinations and Diagnoses
Diseases
Laboratory Examinations and Diagnoses
Biology
Population Characteristics
Demographic Factors
Population
Fertility Measurements
Fertility
Population Dynamics
Ethnic Groups
Cultural Background