Bacteriological profile and sensitivity pattern of Septic Induced Abortion at University of Calabar Teaching Hospital. Calabar.

Abstract

Objective: The study aimed to determine the bacteriological profile and sensitivity pattern of endocervical isolates in septic abortion patients at the University of Calabar Teaching Hospital (UCTH) Calabar. Method: This was a prospective cross sectional study of 98 women with septic induced abortion at UCTH between the 15^th of August 2019 to 14^th March 2020. Endo-cervical swab for microscopy, culture and sensitivity (M/C/S) was collected. The micro-organisms isolated were cultured and sensitivity pattern determined by running a cross tabulation of isolates and antibiotics. The data obtained was analyzed using SPSS, version 20.0. Result: Many patients were between the ages of 20-29 years (57.2%), single (59.2%), employed (55.1%), with tertiary level of education (44.9%) and nulliparous (59.1%). A total of 45.9% presented to hospital more than 7 days after procuring abortion. Many procured abortions because they were not ready to be parents (39.7%) and 63.3% did not use any form of modern contraception. The cultures yielded 41.8% gram positive and 37.8%-gram negatives. Staphylococcus aureus and Escherichia coli were the predominant organisms isolated, and Ciprofloxacin was found to be the most sensitive antibiotic agent. Conclusion: Endocervical isolates from women with septic induced abortion were polymicrobial and Ciprofloxacin was the most sensitive antibiotic.