AJP Rep 2013; 03(01): 051-056
DOI: 10.1055/s-0033-1334460
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pregnancy and Perinatal Outcomes Associated with Acinetobacter baumannii Infection

Mai He
1   Department of Pathology and Laboratory Medicine, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, Rhode Island
,
Stefan Kostadinov
1   Department of Pathology and Laboratory Medicine, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, Rhode Island
,
Fusun Gundogan
1   Department of Pathology and Laboratory Medicine, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, Rhode Island
,
Judith Struminsky
1   Department of Pathology and Laboratory Medicine, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, Rhode Island
,
Halit Pinar
1   Department of Pathology and Laboratory Medicine, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, Rhode Island
,
C. James Sung
1   Department of Pathology and Laboratory Medicine, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, Rhode Island
› Author Affiliations
Further Information

Publication History

25 July 2012

27 July 2012

Publication Date:
07 February 2013 (online)

Abstract

Objective To determine perinatal and pregnancy outcomes of Acinetobacter baumannii infection using clinicopathologic material from pregnant women, neonates, and perinatal postmortem examinations with positive cultures.

Study Design This is a retrospective record review with placental and postmortem examination.

Results During a 5-year period, 40 positive cultures were found. Three pregnancies with positive cultures close in the peripartum period were all associated with adverse outcomes including spontaneous abortion, preterm labor, and one full-term birth with histological chorioamnionitis. Two positive cultures were found in preterm neonates in the neonatal intensive care unit. Two of three cases of perinatal death grew pure cultures from blood and/or fetal tissue with placental or fetal examination demonstrating evidence of infection/inflammation with fetal inflammatory response.

Conclusion This is the first case series report of A. baumannii-positive cultures in maternal, fetal, and neonatal specimen, with histopathologic evidence of infection. The results suggest a significant role of A. baumannii infection in adverse pregnancy and perinatal outcomes.

 
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