Group A Streptococcal Puerperal Sepsis: Historical Review and 1990s Resurgence
1994
Resurgence of Group A Streptococcal Puerperal Sepsis
publication
Evidence: moderate
Author Information
Author(s): Lawrence Nathan, Kenneth J. Leveno
Primary Institution: University of Texas Southwestern Medical School
Hypothesis
Is there a resurgence of puerperal sepsis caused by group A streptococci?
Conclusion
Puerperal sepsis caused by group A streptococci has reemerged as a significant concern in obstetrics.
Supporting Evidence
- Group A streptococci were once a common cause of maternal infections but became rare in the 20th century.
- Recent reports indicate a resurgence of severe infections caused by group A streptococci.
- Historical figures like Semmelweis and Holmes contributed to understanding the contagiousness of puerperal fever.
Takeaway
Doctors used to think group A strep infections were rare, but now they are coming back and can be very dangerous for new moms.
Methodology
This is a historical review of the resurgence of group A streptococcal infections in obstetrics.
Limitations
The review is based on historical data and reports, which may not fully capture current trends.
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