{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T02:33:31Z","timestamp":1772678011338,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,7,5]],"date-time":"2013-07-05T00:00:00Z","timestamp":1372982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":788,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"name":"Compass - The Women's and Children's Health Knowledge Hub"}],"content-domain":{"domain":["ijgo.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Puerperal sepsis and neonatal sepsis are important causes of mortality and morbidity in low\u2010income countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To help improve global guidelines on postpartum care by reviewing existing data on microbiologic causes of sepsis among mothers, newborns, and mother\u2013newborn pairs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>An extensive literature review of peer\u2010reviewed publications from resource\u2010constrained settings was conducted using PubMed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection criteria<\/jats:title><jats:p>Primary research studies containing microbiologic data on puerperal sepsis or combined maternal and neonatal sepsis published since 1980.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection and analysis<\/jats:title><jats:p>Study characteristics and results were analyzed. Data regarding causative microorganisms were tabulated and discussed in the main text.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>Diagnostic evaluation of microorganisms causing puerperal sepsis was difficult, with few studies linking microorganisms causing infection in individual mother\u2013newborn pairs. The most frequent microorganisms associated with puerperal sepsis were <jats:italic>Neisseria gonorrhoeae<\/jats:italic> and <jats:italic>Chlamydia trachomatis<\/jats:italic>. The most frequent microorganisms associated with neonatal sepsis were <jats:italic>Escherichia coli<\/jats:italic>, <jats:italic>Staphylococcus aureus<\/jats:italic>, and <jats:italic>Klebsiella<\/jats:italic> species.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Management tools for community\u2010based care of mothers with puerperal sepsis\u2014including early detection, initiation of broad\u2010spectrum antibiotic treatment, and timely referral\u2014should be added to those currently in use for neonatal sepsis. Further research is required to address acceptability, feasibility, and impact of community\u2010based presumptive treatment.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2013.06.006","type":"journal-article","created":{"date-parts":[[2013,7,5]],"date-time":"2013-07-05T02:00:41Z","timestamp":1372989641000},"page":"10-15","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Causes of puerperal and neonatal sepsis in resource\u2010constrained settings and advocacy for an integrated community\u2010based postnatal approach"],"prefix":"10.1002","volume":"123","author":[{"given":"Anne E.","family":"Miller","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Morgan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Vyankandondera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,7,5]]},"reference":[{"issue":"9620","key":"e_1_2_6_2_2","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1016\/S0140-6736(08)60559-0","article-title":"Countdown to 2015 for maternal, newborn, and child survival: the 2008 report on tracking coverage of interventions","volume":"371","author":"Countdown Coverage Writing Group","year":"2008","journal-title":"Lancet"},{"issue":"9462","key":"e_1_2_6_3_2","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1016\/S0140-6736(05)71048-5","article-title":"4 million neonatal deaths: when? 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