Ophthalmia neonatorum associated with maternal chlamydial infections.

J W Chandler, E R Alexander, T A Pheiffer, S P Wang, K K Holmes, M English
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引用次数: 0

Abstract

An unselected sample of 142 pregnant women had a single cervical culture for C trachomatis at 36 to 40 weeks' gestation. Of these women, 18 (12.7%) had positive cultures, and their infants were followed in postoperative fashion. Of these 18 infants, eight (44%) developed ophthalmia neonatorum. A combination of cultures and conjunctival smears for Giemsa staining and fluorescent-antibody examination for infected cells confirmed the diagnosis in 70% of the infants with conjunctivitis. However, 12 of 18 infants has serum antibodies against genital strain chlamydial antigens at 1 year of age, indicating that a majority of the infants were infected. Four of the infants had superior micropannus at 1 year of age; however, none of the infants had active conjunctivitis nor corneal or conjunctival scars.

新生儿眼炎与母体衣原体感染相关。
未选择的142名孕妇在妊娠36至40周进行单次沙眼原体宫颈培养。在这些妇女中,18例(12.7%)培养阳性,她们的婴儿术后随访。在这18名婴儿中,有8名(44%)出现了新生儿眼炎。结合培养和结膜涂片进行吉姆萨染色和荧光抗体检测感染细胞,70%的婴儿结膜炎确诊。然而,18名婴儿中有12名在1岁时具有针对生殖器菌株衣原体抗原的血清抗体,这表明大多数婴儿受到感染。其中4例婴儿在1岁时具有优越的小输卵管;然而,没有婴儿有活动性结膜炎,也没有角膜或结膜疤痕。
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