{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:29:05Z","timestamp":1790353745612,"version":"4.1.0"},"reference-count":0,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Infectious Diseases in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2003,1]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic> To study the microbial etiology of tubo\u2010ovarian abscess (TOA).<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic> We recruited 11 women in Nairobi, Kenya who failed antibiotic therapy alone and required\nsurgical drainage of a presumptive TOA. Pus from the nine abscesses and two pyosalpinges were collected and\ncultured for aerobic, facultative and anaerobic microorganisms.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic> Eleven women suspected of having a TOA were hospitalized and treated for a median of 6 days (range\n3\u201314 days) prior to surgical drainage of the abscess. Nine (82%) specimens were culture positive. Aerobes\nwere present in all nine specimens. Seven of the nine positive cultures (78%) were polymicrobial and five of\nthe polymicrobial cultures contained both anaerobes and aerobes. Anaerobic Gram\u2010negative bacilli (<jats:italic>Prevotella sp.,\nPorphyromonas sp. and Bacteroides sp., Escherichia coli<\/jats:italic> ) and Streptococcus sp. ( <jats:italic>S. viridans<\/jats:italic> and <jats:italic>S. agalactiae<\/jats:italic>) were the\nmost common microorganisms isolated. <jats:italic>Neisseria gonorrhoeae<\/jats:italic> and <jats:italic>Chlamydia trachomatis<\/jats:italic> were not isolated by\nculture or detected by polymerase chain reaction.<\/jats:p><jats:p><jats:italic>Conclusions<\/jats:italic> In Kenya, persistent TOAs are associated with endogenous flora similar to that normally found\nin the gastrointestinal tract.<\/jats:p>","DOI":"10.1155\/s1064744903000061","type":"journal-article","created":{"date-parts":[[2007,3,7]],"date-time":"2007-03-07T13:24:38Z","timestamp":1173273878000},"page":"45-51","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Etiology of Persistent Tubo\u2010Ovarian Abscess in Nairobi, Kenya"],"prefix":"10.1155","volume":"11","author":[{"given":"Craig R.","family":"Cohen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Gravelle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samwel","family":"Symekher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Waiyaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter E.","family":"Stamm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia A.","family":"Kiehlbauch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2002,12,5]]},"container-title":["Infectious Diseases in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2003\/653942.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/S1064744903000061","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T09:55:00Z","timestamp":1723110900000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/S1064744903000061"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,12,5]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2003,1]]}},"alternative-id":["10.1155\/S1064744903000061"],"URL":"https:\/\/doi.org\/10.1155\/s1064744903000061","archive":["Portico"],"relation":{},"ISSN":["1064-7449"],"issn-type":[{"value":"1064-7449","type":"print"}],"subject":[],"published":{"date-parts":[[2002,12,5]]},"assertion":[{"value":"2002-06-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2002-12-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2002-12-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}