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QUANTITATIVE TRANSCERVICAL UTERINE CULTURES WITH A NEW DEVICE

From the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Tufts University School of Medicine and the Department of Medicine, Boston Veterans Administration Medical Center and Tufts University School of Medicine, Boston, Massachusetts

This study was initiated to examine the ability of a new device to take transcervical cultures of the endometrial cavity in the normal and postpartum uterus. Quantitative bacteriologic assessments were made. The results show there is a millionfold increase in the mean concentration of bacteria cultured from the infected puerperal uterus when contrasted with cultures from nonpregnant women and those who have just undergone repeat cesarean section. The authors conclude that the new device obtains cultures transcervically with marked reduction in contaminationl; however, some method for quantification of bacterial populations must complement the culture so that results differentiate between colonization and infection.