Reproductive Health: Abortion, Pregnancy, Fertility, Contraception A chapter in: Forensic medicine, Medical Law and Ethics in East Africa (2005). Contribution from: J. Wanyoike Gichuhi, Peter Kimani, Editors: Mahomed A. Dada, Kirasi A. Olumbe, David J. Mc

Citation:
WANYOIKE DRGICHUHIJOSEPH, OTIENO DRODAWAFRANCISXAVIER. "Reproductive Health: Abortion, Pregnancy, Fertility, Contraception A chapter in: Forensic medicine, Medical Law and Ethics in East Africa (2005). Contribution from: J. Wanyoike Gichuhi, Peter Kimani, Editors: Mahomed A. Dada, Kirasi A. Olumbe, David J. Mc.". In: Journal of Obstetrics and Gynaecology of East Africa. Vol. 18 No. 1:1-66 May 2005. Starmat Designers & Allied, Nairobi; 2005.

Abstract:

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OBJECTIVE: To examine the effect of human immunodeficiency virus (HIV)-1 infection on treatment outcome of laparoscopically verified acute salpingitis. METHODS: Women aged 18-40 years with laparoscopically verified acute salpingitis received antibiotic therapy that included cefotetan 2 g intravenously and doxycycline 100 mg orally every 12 hours and laparoscopically guided drainage of tuboovarian abscesses of 4 cm or more. Clinical investigators blinded to HIV-1 serostatus used predetermined clinical criteria, including calculation of a clinical severity score and a standard treatment protocol to assess response to therapy. RESULTS: Of the 140 women with laparoscopically confirmed acute salpingitis, 61 (44%) women had mild, 38 (27%) had moderate, and 41 (29%) had severe disease (ie, pyosalpinx, tuboovarian abscesses, or both). Fifty-three (38%) were HIV-1-infected. Severe disease was more common in HIV-1-infected in comparison with HIV-1-uninfected women (20 [38%] compared with 21 [24%]

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