宫颈炎作为妊娠期淋球菌和衣原体感染的临床指标。
Cervicitis as a clinical indicator of gonococcal and chlamydial infections in pregnancy.
作者信息
Jackson S L, O'Connell N G, Borzelleca J F, Dinsmoor M J, Soper D E
机构信息
Department of Obstetrics and Gynecology Medical College of Virginia Virginia Commonwealth University Richmond VA USA.
出版信息
Infect Dis Obstet Gynecol. 1995;3(5):184-8. doi: 10.1155/S1064744995000585.
OBJECTIVE
We undertook the present study to attempt to apply clinical indicators predictive of cervical infection in nongravid populations with either Neisseria gonorrhoeae or Chlamydia trachomatis to our pregnant population and to determine the significance of the clinical diagnosis of "cervicitis."
METHODS
A retrospective chart review of all pregnant women with a final diagnosis of cervicitis who were seen in the Medical College of Virginia obstetrical emergency room was performed during the period of September 1991 to December 1992.
RESULTS
Given the diagnosis of cervicitis in our emergency department, we found that the clinical examination predicted cervical infection with N. gonorrhoeae or C. trachomatis in only 20% of the pregnant women. Gravidas with chlamydial infections were younger (20.1 +/- 3.7 years) compared with gravidas not infected (23.2 +/- 5.4 years) (P < 0.0001). They were also more likely to have a diagnosis of lower urinary-tract infection [relative risk (RR) 2.89, 95% confidence interval (CI) 1.42-5.85].
CONCLUSIONS
The clinical indicators of cervical infection with C. trachomatis and N. gonorrhoeae were unreliable.
目的
我们开展本研究，试图将预测非妊娠人群感染淋病奈瑟菌或沙眼衣原体的宫颈感染临床指标应用于我们的孕妇群体，并确定“宫颈炎”临床诊断的意义。
方法
对1991年9月至1992年12月期间在弗吉尼亚医学院产科急诊室就诊的所有最终诊断为宫颈炎的孕妇进行回顾性病历审查。
结果
在我们的急诊科诊断为宫颈炎的情况下，我们发现临床检查仅能预测20%的孕妇感染淋病奈瑟菌或沙眼衣原体。与未感染的孕妇（23.2±5.4岁）相比，感染衣原体的孕妇年龄更小（20.1±3.7岁）（P<0.0001）。她们也更有可能被诊断为下尿路感染[相对风险（RR）2.89，95%置信区间（CI）1.42 - 5.85]。
结论
沙眼衣原体和淋病奈瑟菌宫颈感染的临床指标不可靠。
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