Surgical site infections (SSI) remain among the most common preventable infections. It is estimated that approximately half of SSI are deemed preventable using evidence-based strategies. Centers for Disease Control and Prevention (CDC) have provided evidence-based recommendations for the prevention of SSI that should be incorporated into surgical quality programs to improve patient safety (Berríos-Torres et al JAMA Surg. 2017;152(8):784-791).
手术部位感染(SSI)仍然是最常见的可预防感染之一。据估计，使用循证策略可以预防约一半的SSI。美国疾病控制与预防中心(CDC)提供了基于证据的建议，建议将SSI预防纳入手术质量计划，以提高患者安全(Berríos-Torres et al JAMA surgery . 2017;152(8):784-791)。
{"title":"Infant microbiota and antibiotic prophylaxis in caesarean delivery","authors":"A. Moron","doi":"10.1111/1471-0528.15992","DOIUrl":"https://doi.org/10.1111/1471-0528.15992","url":null,"abstract":"Surgical site infections (SSI) remain among the most common preventable infections. It is estimated that approximately half of SSI are deemed preventable using evidence-based strategies. Centers for Disease Control and Prevention (CDC) have provided evidence-based recommendations for the prevention of SSI that should be incorporated into surgical quality programs to improve patient safety (Berríos-Torres et al JAMA Surg. 2017;152(8):784-791).","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82264047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Tomassetti, C. Bafort, C. Meuleman, M. Welkenhuysen, S. Fieuws, T. D’Hooghe
To evaluate the reproducibility of the Endometriosis Fertility Index (EFI).
评价子宫内膜异位症生育指数(EFI)的可重复性。
{"title":"Reproducibility of the Endometriosis Fertility Index: a prospective inter‐/intra‐rater agreement study","authors":"C. Tomassetti, C. Bafort, C. Meuleman, M. Welkenhuysen, S. Fieuws, T. D’Hooghe","doi":"10.1111/1471-0528.15880","DOIUrl":"https://doi.org/10.1111/1471-0528.15880","url":null,"abstract":"To evaluate the reproducibility of the Endometriosis Fertility Index (EFI).","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85151762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The past few decades have seen extraordinary advancement in the field of HPV-associated cancers. Following the identification of HPV as the primary cause of cervical cancer (and a contributor to the burden of other cancers), the advents of HPV testing and HPV vaccination have already had an impact on the burden of HPV-associated cancers and hold much promise for the future.
{"title":"Intraoperative human papillomavirus testing: earlier prediction of treatment failure","authors":"E. McClymont, Marette H Lee","doi":"10.1111/1471-0528.15969","DOIUrl":"https://doi.org/10.1111/1471-0528.15969","url":null,"abstract":"The past few decades have seen extraordinary advancement in the field of HPV-associated cancers. Following the identification of HPV as the primary cause of cervical cancer (and a contributor to the burden of other cancers), the advents of HPV testing and HPV vaccination have already had an impact on the burden of HPV-associated cancers and hold much promise for the future.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83493196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Price, E. Hilt, K. Thomas-White, Elizabeth R. Mueller, Alan J. Wolfe, L. Brubaker
To characterise the bladder microbiota of continent adult women.
描述大陆成年女性膀胱微生物群的特征。
{"title":"The urobiome of continent adult women: a cross‐sectional study","authors":"T. Price, E. Hilt, K. Thomas-White, Elizabeth R. Mueller, Alan J. Wolfe, L. Brubaker","doi":"10.1111/1471-0528.15920","DOIUrl":"https://doi.org/10.1111/1471-0528.15920","url":null,"abstract":"To characterise the bladder microbiota of continent adult women.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79565034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this issue of BJOG, Singh and colleagues present a scoping review of prevalence and outcomes of prenatal recreational cannabis use in high-income countries (Singh et al. BJOG xxxx). They synthesize 41 studies which confirm that up to 1 in 10 women use cannabis in pregnancy, with higher rates in the first trimester. The data also suggest that the prevalence has increased in recent years, and medical and recreational use is now legal in many jurisdictions. It seems that cannabis use will continue to be a concern in pregnancy as a result of its increased availability and social acceptability.
{"title":"Epidemiological challenges to measuring prenatal cannabis use and its potential harms","authors":"D. Corsi","doi":"10.1111/1471-0528.15985","DOIUrl":"https://doi.org/10.1111/1471-0528.15985","url":null,"abstract":"In this issue of BJOG, Singh and colleagues present a scoping review of prevalence and outcomes of prenatal recreational cannabis use in high-income countries (Singh et al. BJOG xxxx). They synthesize 41 studies which confirm that up to 1 in 10 women use cannabis in pregnancy, with higher rates in the first trimester. The data also suggest that the prevalence has increased in recent years, and medical and recreational use is now legal in many jurisdictions. It seems that cannabis use will continue to be a concern in pregnancy as a result of its increased availability and social acceptability.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86621797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica L. O’Callaghan, Ross Turner, M. Dekker Nitert, H. Barrett, Vicki L. Clifton, E. Pelzer
The female reproductive tract represents a continuum between the vagina and the upper genital tract. New evidence from cultivation‐independent studies suggests that the female upper genital tract is not sterile; however, the significance of this for reproductive health and disease remains to be elucidated fully. Further, diagnosis and treatment of infectious reproductive tract pathologies using cultivation‐independent technologies represents a largely unchartered area of modern medical science. The challenge now is to design well‐controlled experiments to account for the ease of contamination known to confound molecular‐based studies of low‐biomass niches, including the uterus and placenta. This will support robust assessment of the potential function of microorganisms, microbial metabolites, and cell‐free bacterial DNA on reproductive function in health and disease.
{"title":"Re‐assessing microbiomes in the low‐biomass reproductive niche","authors":"Jessica L. O’Callaghan, Ross Turner, M. Dekker Nitert, H. Barrett, Vicki L. Clifton, E. Pelzer","doi":"10.1111/1471-0528.15974","DOIUrl":"https://doi.org/10.1111/1471-0528.15974","url":null,"abstract":"The female reproductive tract represents a continuum between the vagina and the upper genital tract. New evidence from cultivation‐independent studies suggests that the female upper genital tract is not sterile; however, the significance of this for reproductive health and disease remains to be elucidated fully. Further, diagnosis and treatment of infectious reproductive tract pathologies using cultivation‐independent technologies represents a largely unchartered area of modern medical science. The challenge now is to design well‐controlled experiments to account for the ease of contamination known to confound molecular‐based studies of low‐biomass niches, including the uterus and placenta. This will support robust assessment of the potential function of microorganisms, microbial metabolites, and cell‐free bacterial DNA on reproductive function in health and disease.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79551621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This systematic review, conducted by Patrice Carter and colleagues in the United Kingdom, aims to provide evidence-based recommendations regarding "best management" of pelvic mesh complications according to the indication for referral (BJOG 2019 xxxx). However the results of the analysis appear to add little clarity to the ongoing mesh debate as all mesh types and all patient types are included together.
{"title":"No evidence‐based recommendations exist for optimal management of pelvic mesh complications","authors":"C. Matthews","doi":"10.1111/1471-0528.15997","DOIUrl":"https://doi.org/10.1111/1471-0528.15997","url":null,"abstract":"This systematic review, conducted by Patrice Carter and colleagues in the United Kingdom, aims to provide evidence-based recommendations regarding \"best management\" of pelvic mesh complications according to the indication for referral (BJOG 2019 xxxx). However the results of the analysis appear to add little clarity to the ongoing mesh debate as all mesh types and all patient types are included together.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79619247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The last decade has seen a revolution in our understanding of the role bacteria in female bladder health. The analyses presented here (Price et al, BJOG 2019) both reiterate and develop upon some the most important findings in this emerging field of urinary microbiome research. The medical school teaching of the bladder as an entirely sterile organ in health has proven to be often but not invariably wrong (Wolfe et al, J Clin Microbiol 2012), and here the authors not only find that three quarters of continent adult women have bacterial colonization of the bladder identifiable either by an expanded low threshold urinary culture (103 CFU/mL), or by 16S rRNA gene sequencing, but that some urotypes dominated by microbiota previously regarded as clearly pathogenic are not associated with any evidence of clinical disorder.
{"title":"Urinary bacteria: some good, some bad and some of unknown significance","authors":"R. Cartwright, N. Veit-Rubin","doi":"10.1111/1471-0528.15955","DOIUrl":"https://doi.org/10.1111/1471-0528.15955","url":null,"abstract":"The last decade has seen a revolution in our understanding of the role bacteria in female bladder health. The analyses presented here (Price et al, BJOG 2019) both reiterate and develop upon some the most important findings in this emerging field of urinary microbiome research. The medical school teaching of the bladder as an entirely sterile organ in health has proven to be often but not invariably wrong (Wolfe et al, J Clin Microbiol 2012), and here the authors not only find that three quarters of continent adult women have bacterial colonization of the bladder identifiable either by an expanded low threshold urinary culture (103 CFU/mL), or by 16S rRNA gene sequencing, but that some urotypes dominated by microbiota previously regarded as clearly pathogenic are not associated with any evidence of clinical disorder.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79717361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Endometriosis affects fertility in a miscellaneous number of ways, including anatomical pelvic distortion and hormonal and inflammatory disturbance. It is estimated that 30-50% of women with endometriosis suffer infertility. As such, an estimate of the chances of natural conception in women with endometriosis is important.
{"title":"Surgery for endometriosis‐related infertility","authors":"F. Pacheco, B. Mol","doi":"10.1111/1471-0528.15975","DOIUrl":"https://doi.org/10.1111/1471-0528.15975","url":null,"abstract":"Endometriosis affects fertility in a miscellaneous number of ways, including anatomical pelvic distortion and hormonal and inflammatory disturbance. It is estimated that 30-50% of women with endometriosis suffer infertility. As such, an estimate of the chances of natural conception in women with endometriosis is important.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85944160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Kolstad, J. Mayo, Lorinda Chung, Y. Chaichian, Victoria M Kelly, Maurice L. Druzin, David K. Stevenson, Gary M. Shaw, Julia F Simard
To investigate preterm birth (PTB) phenotypes in women with different autoimmune rheumatic diseases in a large population‐based cohort.
在一个以人群为基础的大队列中，研究不同自身免疫性风湿病妇女的早产(PTB)表型。
{"title":"Preterm birth phenotypes in women with autoimmune rheumatic diseases: a population‐based cohort study","authors":"K. Kolstad, J. Mayo, Lorinda Chung, Y. Chaichian, Victoria M Kelly, Maurice L. Druzin, David K. Stevenson, Gary M. Shaw, Julia F Simard","doi":"10.1111/1471-0528.15970","DOIUrl":"https://doi.org/10.1111/1471-0528.15970","url":null,"abstract":"To investigate preterm birth (PTB) phenotypes in women with different autoimmune rheumatic diseases in a large population‐based cohort.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80835205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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