Coonrod Dean V, Jack Brian W, Stubblefield Phillip G, Hollier Lisa M, Boggess Kim A, Cefalo Robert, Cox Shanna N, Dunlop Anne L, Hunter Kam D, Prasad Mona R, Lu Michael C, Conry Jeanne A, Gibbs Ronald S, Hogan Vijaya K
Department of Obstetrics and Gynecology, Maricopa Medical Center, Phoenix, AZ 85008, USA.
Am J Obstet Gynecol. 2008 Dec;199(6 Suppl 2):S296-309. doi: 10.1016/j.ajog.2008.08.062.
A number of infectious diseases should be considered for inclusion as part of clinical preconception care. Those infections strongly recommended for health promotion messages and risk assessment or for the initiation of interventions include Chlamydia infection, syphilis, and HIV. For selected populations, the inclusion of interventions for tuberculosis, gonorrheal infection, and herpes simplex virus are recommended. No clear evidence exists for the specific inclusion in preconception care of hepatitis C, toxoplasmosis, cytomegalovirus, listeriosis, malaria, periodontal disease, and bacterial vaginosis (in those with a previous preterm birth). Some infections that have important consequences during pregnancy, such as bacterial vaginosis (in those with no history of preterm birth), asymptomatic bacteriuria, parvovirus, and group B streptococcus infection, most likely would not be improved through intervention in the preconception time frame.
作为临床孕前保健的一部分，应考虑将多种传染病纳入其中。强烈建议针对衣原体感染、梅毒和艾滋病毒开展健康促进信息传播、风险评估或采取干预措施。对于特定人群，建议将结核病、淋病和单纯疱疹病毒的干预措施纳入其中。目前尚无明确证据表明丙型肝炎、弓形虫病、巨细胞病毒、李斯特菌病、疟疾、牙周病和细菌性阴道病（有早产史者）应专门纳入孕前保健。一些在孕期有重要影响的感染，如细菌性阴道病（无早产史者）、无症状菌尿、细小病毒和B族链球菌感染，在孕前阶段进行干预很可能无法改善病情。
