Puerperal sepsis: a microbiological study.

Fifty cases of puerperal sepsis in women from various hospitals in Faisalabad were included in the study. The frequency of various organisms was Escherichia coli 58%, Streptococcus Pyogenes 44%, Staphylococcus aureus 28%, Aerobacter aerogenes 14%, Streptococcus pneumoniae 12%, Staphylococcus epidermidis 10%, Streptococcus faecalis 8%, Candida albicans 6%, Streptococcus mitis (Viridans group) 6% and Clostridium welchii 2%. In vitro antibiotic sensitivity revealed that 41 cases were sensitive to one or more antibiotics. No single drug was effective in all the cases. Fifty four per cent of organisms were sensitive to Streptopenicillin 46% to Streptomycin 47% to Erythromycin 36% to Ampiclox 34% to Kanacillin and 28% to Chloramphenicol 28%. Carbenicillin, Kan-amycin, Septran and tetracycllin were found to be effective in less than 15 % cases. Findings indicated that hygienic conditions during and after parturition need improvement (JPMA 31286, 1081).