{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T07:43:22Z","timestamp":1697010202922},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2009,8,24]],"date-time":"2009-08-24T00:00:00Z","timestamp":1251072000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim:\u2002<\/jats:bold> Sepsis remains a major cause of morbidity and mortality in Mulago Hospital, Kampala, Uganda, following cesarean section (CS). The present study was designed to assess whether asymptomatic HIV infection could be contributing to the increased morbidity following emergency CS in the form of wound and genital tract infection (GTI) with consequent prolonged stay in the hospital.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> Five hundred patients who had undergone emergency lower segment CS had their blood taken to check for HIV\u20101 serostatus on the first postoperative day. The patients were followed up for evidence of wound sepsis, defined as occult pus discharge on compression of the wound or removal of the closing stitches, GTI and duration of stay in the hospital after the operation.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> There were 98 (20.5%) HIV\u20101 seropositive patients. The incidence of postoperative wound sepsis (<jats:italic>P<\/jats:italic>\u2003=\u20030.948, 95% confidence interval [CI] 0.56\u20131.86), GTI (<jats:italic>P<\/jats:italic>\u2003=\u20030.339, 95% CI\u2003=\u20030.74\u20132.39) as well as hospital stay &gt;8\u2003days (<jats:italic>P<\/jats:italic>\u2003=\u20030.327, 0.78\u20132.09) was not statistically significantly different between the infected and non\u2010infected groups. Significant predisposing factors to postoperative morbidity were poor general condition on admission, dehydration, preoperative clinical anemia, and ruptured membranes prior to the operation.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> Asymptomatic HIV\u20101 was not associated with increased postoperative morbidity following emergency lower segment cesarean section.<\/jats:p>","DOI":"10.1111\/j.1447-0756.2008.01002.x","type":"journal-article","created":{"date-parts":[[2009,8,25]],"date-time":"2009-08-25T02:15:29Z","timestamp":1251166529000},"page":"679-688","source":"Crossref","is-referenced-by-count":4,"title":["Outcome of cesarean section in asymptomatic HIV\u20101 infection in Kampala, Uganda"],"prefix":"10.1111","volume":"35","author":[{"given":"Wilberforce K.","family":"Sekirime","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John C.","family":"Lule","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,9,8]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"OdyekA.A study of caesarean sections in Mulago between July 1988 and December 1988.788\u2013789.1988. Mulago Hospital Makerere University. Thesis\/Dissertation."},{"key":"e_1_2_6_3_2","first-page":"14","article-title":"Antenatal care, journal education and child bearing with special reference to primigravida aged 15\u2003years","volume":"5","author":"Harrison KA","year":"1985","journal-title":"Br J Obstet Gynecol"},{"key":"e_1_2_6_4_2","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1016\/0002-9378(66)90522-9","article-title":"Further observations on the microbiologic flora of the cervix and vagina in pregnancy","volume":"96","author":"Walsh H","year":"1976","journal-title":"Am J Obst Gynaecol"},{"key":"e_1_2_6_5_2","unstructured":"Department of Health Great Britain.Report on Confidential Inquires into Maternal Deaths in England and Wales 1982\u20131984. Department of Health 1989. Report No.: 34; 87\u2013106."},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/6.6.814"},{"key":"e_1_2_6_7_2","unstructured":"MmiiroFA.HIV\u2010infection and Pregnancy in Mulago hospital. A Preliminary Data. Marseilles 1993."},{"key":"e_1_2_6_8_2","unstructured":"MmiiroFA.Maternal outcome of HIV\u20131 infection in Ugandan women. Marseilles 1989."},{"key":"e_1_2_6_9_2","unstructured":"DatheO.Postoperative Obstetrics and Gynecological Complications in Patients with HIV. International Conference on AIDS Yokohama 1994. Ref Type: Abstract. PB 0784 13."},{"key":"e_1_2_6_10_2","first-page":"357","article-title":"Incidence of wound infection after caesarean delivery in a district hospital in central Kenya","volume":"82","author":"Koigi\u2010Kamau R","year":"2005","journal-title":"East Afr Med J"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(01)00380-0"},{"key":"e_1_2_6_12_2","unstructured":"DuarteG.Poor pregnant women and HIV \u2013 1 infection; maternal prognosis in the Brazilian community. 13th International Conference on AIDS in Yokohama. 1993. Ref Type: Abstract PB 0440."},{"key":"e_1_2_6_13_2","unstructured":"BongainA DevilleA CottalordaJ Baechler\u2010SadoulE GilletJY.HIV\u20101 and pregnancy outcomes about; 304 cases. Int Conf AIDS 7 367. 1991. Ref Type: Abstract."},{"key":"e_1_2_6_14_2","unstructured":"JarrinG.Abdominal surgery in patients with HIV. Amsterdam International Conference on AIDS. 1992. Ref Type: Abstract."}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1447-0756.2008.01002.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1447-0756.2008.01002.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T07:53:44Z","timestamp":1696924424000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1447-0756.2008.01002.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,8]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2009,8]]}},"alternative-id":["10.1111\/j.1447-0756.2008.01002.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1447-0756.2008.01002.x","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,8]]}}}