This paper deals with bacteriological study on 102 cases of artificial abortion, according to the Eugenics Protective Law, conducted at 2 to 6 months of pregnancy, free from suppurative disease or accessary damege during or after operation.
Results were as follows:
1) Rate of bacillemia was 10.78% (11 cases out of 102 cases). Rate of bacillar infection due to operation was 32.35% (33 cases out of 102 cases).
2) The order of positive rate of the following bacilli groups through bacteriological cultures, taken from uterus cavity, raminaria poles, bougies and vena blood of mediana antebrachii, was a, b, c and d, the lowest:
a) bacilli, which may commonly obtained from upper respiratory tract (staphylococcus albus, staphylococcus aureus, neisseria group).
b) bacilli that may always obtained from intestinal system (streptococcus faecalis, escherichia coli, proteus vulgaris, pseudomonas aeruginosa).
c) bacilli that may always obtained from any parts of body (streptococcus viridans group, yeast-like-organisms).
d) bacilli in the air (bacillus subtiiis).
3) As for the positive rates by time, it was highest at 5 minutes after operation, intermediate at 15 minutes, and lowest at 10 minutes after operation. The stochostic difference of F 0-4.15 was obtained between these figures. t
4) If Heurlin's vaginal cleanliness degree was high before operation, bacilli positive rate through culture was relatively high. As for bacilli positive rate through culture taken from uterus cavity, raminaria pole, and bougie, it was lower in case of 2 to 3 months of pregnancy than in case of 4 to 6 months of pregnancy. On the contrary, in case of the culture from vena blood of mediana antebrachii, the rate was higher in the former cases than in the latter cases.
5) Cases of acute sepsis, reported in this paper, are interesting examples of acute sepsis, which were obviously due to operation of artificial abortion.
6) Not all the cases, which were revealed to have comparatively plenty of bacilli in uterus cavity and vagina, were resulted in sepsis. Therefore, further study must be made on the mechanism of focal infection, focus of chronic sepsis, infection atrium of acute sepsis, and onset of sepsis.
7) Furthermore, problems of disinfection and technical procedures in operation still remain and problems of care of patients shall be studied from the bio-chemical point of view.
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