Incidence of uterine post abortion infection at Hospital de Clínicas de Porto Alegre. Is prophylactic antibiotic necessary?

Objetivo: Identificar a incidência de infecção pélvica após aborto espontâneo submetido a esvaziamento uterino num hospital terciário do sul do Brasil e comparar com a literatura internacional. Métodos: Os prontuários eletrônicos do Hospital de Clínicas de Porto Alegre de todas as pacientes que foram submetidas ao esvaziamento uterino por abortamento entre agosto de 2008 e Janeiro de 2012 foram revisados. Foram incluídas no estudo todas as pacientes submetidas à curetagem uterina por abortamento e que tiveram consultas ambulatoriais de revisão após o procedimento. Os dados demográficos e laboratoriais da população estudada, number needed for treatment (NNT) e o number needed to harm (NNH) foram calculados. Resultados: Dos 857 prontuários eletrônicos revistos, 377 pacientes foram submetidas ao esvaziamento uterino por abortamento; 55 casos foram perdidos no seguimento, restando 322 casos que foram classificados como aborto não infectado na admissão. A maioria da população era da raça branca (79%); a prevalência de HIV e VDRL positivos foi de 0,3 e 2%, respectivamente. No seguimento desses 322 casos, num período mínimo de 7 dias, verificou-se que a incidência de infecção pós-procedimento foi de 1,8% (IC95%0,8 a 4). O NNT e o NNH calculado para 42 meses foi de 63 e 39, respectivamente. Conclusão: A incidência de infecção pós-aborto entre agosto de 2008 a janeiro de 2012 foi de 1,8% (0,8 a 4).Objective: To identify the incidence of infection post-uterine evacuation for miscarriage at a tertiary teaching hospital in southern Brazil. Methods: Electronic records of all patients admitted for uterine evacuation for miscarriage between August 2008 and January 2012 were revised. All patients submitted to uterine curettage for miscarriage and had outpatient follow-up were included. Demographic, laboratorial data of the sampled population, the number needed to treat (NNT) and number needed to harm (NNH) were calculated. Results: From 857 reviewed electronic records, 377 underwent uterine evacuation for miscarriage. 55 cases were lost to follow-up, remaining 322 cases classified as non-infected miscarriage at admission. The majority of the population was white (79%); prevalence of positive HIV and VDRL was 0.3 and 2%, respectively. From 322 cases, within a week of follow-up, the incidence of post-miscarriage infection was 1.8% (95%CI 0.8 to 4). In a period of 42 months, the NNT and NNH were 63 and 39, respectively. Conclusion: The incidence of infection after miscarriage between August 2008 and January 2012 was 1.8% (0.8 to 4)

Muscle damage, inflammatory, immune and performance responses to three football games in 1 week in competitive male players

Purpose: We examined effects of a three-game, 1-week microcycle (G1, G2, G3) on recovery of performance and inflammatory responses in professional male footballers. Methods: Players were randomized into an experimental (EXP; N = 20) and a control group (CON; N = 20). Blood was drawn and repeated sprint ability (RSA), muscle soreness and knee range of motion (KJRM) were determined pre- and post-games and during recovery. Results: High-intensity running during G2 was 7–14 % less compared to G1 and G3. RSA declined in EXP by 2–9 % 3 days post-game with G2 causing the greatest performance impairment. In EXP, game play increased muscle soreness (~sevenfold) compared to CON with G2 inducing the greatest rise, while KJRM was attenuated post-game in EXP compared to CON (5–7 %) and recovered slower post G2 and G3 than G1. CK, CRP, sVCAM-1, sP-Selectin and cortisol peaked 48 h post-games with G2 eliciting the greatest increase. Leukocyte count, testosterone, IL-1β and IL6 responses, although altered 24 h post each game, were comparable among games. Plasma TBARS and protein carbonyls rose by ~50 % post-games with G2 eliciting the greatest increase 48 h of recovery. Reduced to oxidized glutathione ratio declined for 24 h post all games with G2 displaying the slowest recovery. Total antioxidant capacity and glutathione peroxidase activity increased (9–56 %) for 48 h in response to game play. Conclusion: In summary, post-game performance recovery and inflammatory adaptations in response to a three-game weekly microcycle displayed a different response pattern, with strong indications of a largest physiological stress and fatigue after the middle game that was preceded by only a 3-day recovery. © 2015 Springer-Verlag Berlin Heidelber