Gurjav, Naran
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Gurjav, Naran
Бүтэн нэр
Gurjav Naran
Латин нэр
Gurjav Naran
Албан тушаал
Судлаач
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Item type:Publication, Post-Cesarean Sepsis Causes and Biomarkers(Mongolian National University of Medical Sciences, 2022-12-29); ; Objective: The determination of procalcitonin and lactate levels in the early diagnosis of sepsis is clinically significant and the higher the lactate level increases the greater the risk of mortality. In order to improve prevention and treatment of post-caesarean sepsis, in the present study we aimed to determine the serum biomarkers of Mongolian patients undergoing a cesarean section. Methods: Procalcitonin was determined by “E - 411” which is a fully automated analyzer and also by enzyme binding assay. Lactate, C-reactive protein, and lactate dehydrogenase was determined by “E - 411 only. Statistical analysis was performed by a SPSS - 20 software program, and statistics process by the chi-square test, Fisher test, and t-test. The confirmation rate was 95 % p < 0.05. Results: Women who gave childbirth in 2016 - 2020 and women who developed sepsis and who did not develop sepsis following C-section in the Clinical Maternity Hospital No.1 and in the Maternal and Child Health National Center were compared and studied. A total of 361 mothers were involved in the study. Conclusions: E. coli 29,4 %, intestinal bacteria 9,1 %, Staphylococcus epidermidis 8,9 %, Staphylococcus aureus 7,2 %, gram-negative bacteria 6,6 %, Streptococcus 5,3 %, gram-positive bacteria 2,8 %, Candida albicans 1,4 %, and Mycoplasma 1,1 % were responsible for bacteremia. Infection was caused by one bacterium in 141 cases (39,1 %), by two germs in 56 cases (15,5 %), by three microbes in 2 cases (0,6 %), and without any detection of bacteria in 162 cases (44,9 %). - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Risk Factors for Sepsis Following Cesarean Section in Ulaanbaatar: A Case-Control Study(Mongolian National University of Medical Sciences, 2017-02-25); ; Objectives: The aim of this study was to determine the incidence of post-cesarean sepsis in patients undergoing a cesarean section (CS) and to identify risk factors and the impact of antibiotic prophylaxis on this condition. Methods: All cesarean deliveries performed at Ulaanbaatar Urguu Maternity Hospital and National Center for Maternal and Child Health (NCMCH) from October 1st 2013 to October 1st 2015 were evaluated for sepsis, based on criteria established by Centers for Disease Control and Prevention’s National Healthcare Safety Network (CDC/NHSN). Medical records of case study and control patients were reviewed when they had post operation infection and revisited the hospital. Records were also compared to and included sociodemographic and clinical characteristics. Results: Overall findings were: 47.4% (361/ 761) of cases were complicated by wound infection and the control group without wound infections was 52.6% (400/761). Post-cesarean wound infection risk factors were statistically determined by: 1) emergency surgery (95% CI=2.8; P=0.35); 2) Twin pregnancy (95% CI=5.8; P=0.2); 3) Premature rupture of membrane (95% CI=6.4; P=0.26) and; 4) Failed induction (95% CI=4.6; P=0.5). Conclusion: Identifying high-risk patients who will require intensive postoperative care is critical in reducing incidences of post-cesarean wound infection. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Sensitivity and specificity of commercially available rapid diagnostic tests for viral hepatitis B and C screening in serum samples.(2020)Scopus© Citations 35