The greatest strengths of this book are the chapters on obstetrical and gynecologic infections. Topics that are usually covered in a few paragraphs or a page in standard textbooks on infectious diseases (for example, intraamniotic infection, postpartum endometriosis, septic pelvic thrombophlebitis, and episiotomy infections) are afforded entire chapters. These chapters blend practical information with synopses of the medical literature. The text is supplemented by many tables, photographs, and algorithms to help busy clinicians. For many obstetrical and gynecologic infections, there is little clinical research to guide practicing physicians. The guidelines in this book are one of its most valuable features.
Sexually transmitted diseases are the commonest infectious diseases in women. The chapters on syphilis, herpes, gonorrhea, chlamydia infection, and human papillomavirus infection provide guidance on these infections in women, with special attention to management during pregnancy. There is an excellent chapter on human immunodeficiency virus infection; it is current and well referenced and clearly addresses the optimal management of this infection during pregnancy. The chapters devoted to other infections give practical information and specific recommendations (which are often hard to find in other sources) on the management of common infections during pregnancy.
Infectious Diseases in Women fills an important gap. My only regret is that the focus is on infections associated with reproduction and gynecology. This is clearly a reflection of the current state of knowledge of sex-related differences in the immune system and in susceptibility to infectious diseases.
Judith Currier, M.D.
Copyright © 2001 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.
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