Avaliação da contaminação microbiana da membrana amniótica e líquido amniótico

• Autor(a) principal: Souza, Carlos Eduardo Borges [UNIFESP]
• Data de Publicação: 2004
• Outros Autores: Engel, Dinorah Piacentini [UNIFESP], Branco, Bruno Castelo [UNIFESP], Hofling-Lima, Ana Luisa [UNIFESP], Freitas, Denise de [UNIFESP], Gomes, José Álvaro Pereira [UNIFESP], Souza, Luciene Barbosa de [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0004-27492004000500003; http://repositorio.unifesp.br/handle/11600/2260
• topic: Contamination; Bacteria; Amniotic fluid; Cornea; Staphylococcus; Contaminação; Bactérias; Líquido amniótico; Córnea; Staphylococcus

PURPOSE: To verify and compare the possible microbiological contamination of amniotic fluid, and amniotic membranes at time zero and at different times after delivery. METHODS: Nine amniotic fluid samples were collected by intrauterine aspiration and nine amniotic membranes were collected after cesarean deliveries of patients with negative serology (HIV, syphilis, hepatitis B and C). Samples were collected at different times after delivery (zero, thirty, sixty minutes). The samples were inoculated in culture media for bacteria and fungi. RESULTS: Bacteria were retrieved from four amniotic fluid samples, as well as from all nine amniotic membranes. Coagulase-negative Staphylococcus was the most prevalent bacteria. At time zero, coagulase-negative Staphylococcus was revealed in all nine amniotic membranes, Staphylococcus aureus in two, Neisseria sp., Enterobacter and Streptococcus viridans in one. Thirty minutes after delivery, coagulase negative Staphylococcus grew in all nine amniotic membranes and Streptococcus viridans in one. Sixty minutes after delivery, coagulase-negative Staphylococcus was shown in eight, Staphylococcus aureus in two and Streptococcus viridans in one sample. Coagulase-negative Staphylococcus was found in three amniotic fluids and corresponding membranes. CONCLUSION: Amniotic membrane contamination was a problem in all samples, and the processing protocol used at the Federal University of São Paulo was efficient to decontaminate the AM. Care must be taken before the use of AM. Further studies are necessary to establish the accurate variation of AM contamination at different times after delivery.