到三级医院就诊的产前妇女的 B 群链球菌和念珠菌感染筛查及新生儿结局

IF 0.7 Q4 MICROBIOLOGY
Abraham Faby, M. Anuradha, R. Rachel, Saswati Tripathy, Sajeethakumari Raveendran
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引用次数: 0

摘要

产前妇女的生殖道感染是经常出现的公共卫生问题,会影响受感染妇女的生活质量,并进一步对新生儿的预后产生负面影响。阴道感染主要是由于正常的阴道微生物菌群紊乱引起的。B 组链球菌(GBS)是一种主要的腹膜病原体,会导致母亲和新生儿的发病率和死亡率,并引发早产、绒毛膜羊膜炎和早产破膜(PROM)等并发症。此外,外阴阴道念珠菌病(VVC)是一种常见的妇科疾病,导致四分之三的妇女在一生中至少发病一次。它导致未怀孕妇女不孕。它还会导致不良妊娠结局,如绒毛膜羊膜炎和新生儿先天性畸形。本研究的目的是筛查潜在的细菌和酵母菌感染,重点是 GBS 和念珠菌感染及其对新生儿的影响。念珠菌和 GBS 是通过常规培养检测确定的。HiChrome 琼脂用于鉴定念珠菌的种类。对 GBS 进行了 CAMP 检测;使用链球菌分组试剂盒做了进一步鉴定。在 15%的产前妇女中发现了 GBS,而白色念珠菌是最常见的细菌,感染率为 50%。GBS阳性产妇的下段剖宫产率为60%,白色念珠菌阳性产妇的下段剖宫产率为65.38%。33% 的 GBS 阳性母亲所生的新生儿出现呼吸困难。产前妇女感染对分娩方式有负面影响,受感染母亲所生新生儿的平均体重相对较轻。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Screening of Group B Streptococcal and Candida Infections in Antenatal Women Visiting a Tertiary Care Hospital and the Neonatal Outcome
Reproductive tract infections in antenatal women are frequently occurring public health concern affecting the quality of life in the infected women and further affects the neonatal outcome negatively. Vaginal infections are predominantly caused due to the disturbance in the normal vaginal microflora. Group B Streptococcus (GBS) is a major peritoneal pathogen leading to morbidity and mortality in both mother and neonates leading to complications like preterm labour, chorioamnionitis and Preterm rupture of membrane (PROM). Further, Vulvovaginal candidiasis (VVC) is a frequently encountered gynaecological disease causing morbidity in 3/4th of women at least once in their life span. It leads to infertility in non-pregnant women. It results in adverse pregnancy outcomes such as chorioamnionitis and congenital abnormalities in the neonates. The aim of this study is to screen for potential bacterial and yeast infections with focus on GBS and Candida infections and its neonatal outcome. Candida species and GBS were identified by routine culture-based tests. HiChrome agar was used for speciation of Candida species. CAMP test was performed for GBS; further identification was done using Streptococcal grouping kit. GBS was found in 15% of the antenatal women and Candida Species was found to be most common with an infection rate of 50%. Lower segment Cesarean section (LSCS) rate in GBS positive women was 60% and in Candida Non albicans positive women was found to be 65.38%. 33% of the neonates born to GBS positive mothers had respiratory distress. Infection in antenatal women negatively influenced the mode of delivery and the mean body weight of the neonates born to infected mothers were comparatively less.
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来源期刊
Journal of Pure and Applied Microbiology
Journal of Pure and Applied Microbiology BIOTECHNOLOGY & APPLIED MICROBIOLOGY-MICROBIOLOGY
CiteScore
2.00
自引率
0.00%
发文量
266
审稿时长
11 months
期刊介绍: Journal of Pure and Applied Microbiology (JPAM) is a peer-reviewed, open access international journal of microbiology aims to advance and disseminate research among scientists, academics, clinicians and microbiologists around the world. JPAM publishes high-quality research in all aspects of microbiology in both online and print form on quarterly basis.
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