无阴道症状孕妇阴道细菌性感染的分布及围生期传播。

Ho-Suap Hahn, Ki-Heon Lee, Yu-Jin Koo, Soon-Gyu Kim, Jee Eun Rhee, Moon Young Kim, Soo-Jin Hwang, Jae Ho Lee, In-Ho Lee, Kyung-Taek Lim, Jae-Uk Shim, Tae-Jin Kim
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引用次数: 4

摘要

背景:我们评估无症状孕妇阴道细菌性感染的分布和垂直传播。方法:对妊娠36周以上孕妇的宫颈拭子分泌物和分娩后立即收集的新生儿口腔分泌物进行多重PCR。检测出6种性传播感染:阴道毛滴虫、人支原体、生殖支原体、沙眼衣原体、淋病奈瑟菌、解脲原体。结果:455例孕妇中检出感染源64例(14.1%),新生儿检出感染源11例(2.4%)。垂直传播率为17.2%,新生儿感染病原与母亲感染病原基本一致。母系生殖器检出最多的是解脲脲菌,其次是人支原体。分娩时间较长的妇女将性传播感染媒介垂直传播给新生儿的风险更高。结论:细菌性传播感染可能在分娩时由母亲垂直传播给婴儿,并受分娩时间的影响。应在孕妇中诊断性传播感染,以防止在分娩时从母亲向婴儿垂直传播。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Distribution and perinatal transmission of bacterial vaginal infections in pregnant women without vaginal symptoms.

Background: We evaluated the distribution and vertical transmission of bacterial vaginal infections in asymptomatic pregnant women.

Methods: We performed multiplex PCR on secretions collected on cervical swabs from pregnant women at over 36 weeks of gestation and on oral secretions collected from their neonates immediately after delivery. We detected sexually transmitted infections (STIs) with the following 6 species: Trichomonas vaginalis, Mycoplasma hominis, Mycoplasma genitalium, Chlamydia trachomatis, Neisseria gonorrhoeae, and Ureaplasma urealyticum.

Results: Infectious agents were detected in 64 of 455 pregnant women (14.1%) and in 11 neonates (2.4%). The rate of vertical transmission was 17.2% and all the infectious agents detected in neonates were concordant with those found in their mothers. U. urealyticum was the most frequently detected in the maternal genitalia, followed by M. hominis. Women who were in labor for a longer period of time had a higher risk of vertically transmitting STI agents to their neonates.

Conclusions: Vertical transmission of bacterial STIs from mothers to their infants is possible at delivery and influenced by the duration of labor. STIs should be diagnosed in pregnant women to prevent vertical transmission from the mother to the infant at the time of delivery.

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