University of Hawaii, Department of Maternal and Fetal Medicine, United States.
Hawaii Pacific Health Research Institute, United States.
J Infect Public Health. 2018 Jul-Aug;11(4):584-585. doi: 10.1016/j.jiph.2017.10.012. Epub 2017 Nov 13.
Currently no recommendation exists to collect genital culture for Chlamydia trachomatis and Neisseria gonorrhoeae at diagnosis of spontaneous abortion. A retrospective cross sectional study was performed to identify first trimester abortions with concurrent genital culture collection in an emergency room setting. The results were compared to most current 2015 Center for Disease Control (CDC) statistics. Among women aged 15-24 the rate of C. trachomatis was increased to 20.0% and greater than CDC rate of 6.7% (RR 2.97, p<0.0001). No positive screens for C. trachomatis were found above age 30 and the study rate of N. gonorrhoeae was not significantly elevated. Younger women presenting for miscarriage have high prevalence of C. trachomatis in comparison to 2015 CDC statistics. Routine genital culture could be recommended at diagnosis of first trimester spontaneous abortion.
目前，在自发性流产的诊断中，没有收集沙眼衣原体和淋病奈瑟菌的生殖器培养物的建议。本研究采用回顾性横断面研究，在急诊室环境中收集同期生殖器培养物的早期流产病例。将结果与当前 2015 年疾病控制中心（CDC）的统计数据进行比较。在 15-24 岁的女性中，沙眼衣原体的检出率增加到 20.0%，高于 CDC 6.7%的检出率（RR 2.97，p<0.0001）。30 岁以上未发现沙眼衣原体阳性筛查，淋球菌检出率也没有显著升高。与 2015 年 CDC 的统计数据相比，年轻女性流产的沙眼衣原体感染率较高。在诊断早期自发性流产时，建议常规进行生殖器培养。
