妊娠期性传播感染。

Sexually transmitted infections during pregnancy.

机构信息

Johns Hopkins Bayview Medical Center, Division of Infectious Diseases, 4940 Eastern Avenue, B-3 North, Baltimore, MD 21224, USA.

出版信息

Curr Infect Dis Rep. 2007 Mar;9(2):125-33. doi: 10.1007/s11908-007-0008-1.

DOI:10.1007/s11908-007-0008-1

PMID:17324350

Abstract

Two million of the 15 million (13.3%) new cases of sexually transmitted infections (STIs) among persons 15 to 49 years old occur in pregnant women. Access to care and a provider's ability to assess risk, screen, and treat STIs are critical factors in preventing adverse pregnancy outcomes. Significant variations in provider STI screening and treatment practices exist despite recommended guidelines. This article reviews issues related to screening and management of common STIs during pregnancy, with emphasis on the new 2006 US Centers for Disease Control and Prevention Sexually Transmitted Diseases Treatment Guidelines and recently revised recommendations for HIV testing of pregnant women in healthcare settings.

摘要

在 1500 万 15 至 49 岁人群的新发性传播感染（STI）病例中，有 200 万例发生在孕妇中。能否获得医疗服务以及提供者评估风险、筛查和治疗 STI 的能力是预防不良妊娠结局的关键因素。尽管有推荐的指南，但提供者在 STI 筛查和治疗实践方面仍存在显著差异。本文综述了妊娠期常见 STI 的筛查和管理问题，重点介绍了新的 2006 年美国疾病控制与预防中心性传播疾病治疗指南和最近修订的在医疗机构中对孕妇进行 HIV 检测的建议。