Leeper Connie, Lutzkanin Andrew
Department of Family, Internal, and Rural Medicine, University of Alabama, 850 Peter Bryce Boulevard, Tuscaloosa, AL 35401, USA.
Department of Family and Community Medicine, Penn State College of Medicine, 500 University Drive, Hershey, PA 17033, USA.
Prim Care. 2018 Sep;45(3):567-586. doi: 10.1016/j.pop.2018.05.013. Epub 2018 Jul 9.
Several infections have unique consequences or considerations in pregnancy. Some common infections such as urinary tract infections, influenza, sexually transmitted diseases, and vaginitis affect pregnant women differently than the general population, can cause pregnancy complications, and require treatments that are safe in pregnancy. Infections such as hepatitis B and C and human immunodeficiency virus can be transmitted vertically and therefore management focuses on decreasing perinatal transmission. Certain infections can be transmitted in utero and cause congenital infections. Classically, these were grouped together as the TORCH infections, although now several others, including varicella virus, parvovirus, and Zika virus, have also been recognized.
几种感染在孕期有独特的后果或需要特别考虑。一些常见感染,如尿路感染、流感、性传播疾病和阴道炎,对孕妇的影响与普通人群不同,可导致妊娠并发症,且需要采用孕期安全的治疗方法。诸如乙型和丙型肝炎以及人类免疫缺陷病毒等感染可垂直传播,因此管理重点在于减少围产期传播。某些感染可在子宫内传播并导致先天性感染。传统上,这些感染被归为TORCH感染,不过现在其他几种感染,包括水痘病毒、细小病毒和寨卡病毒,也已被确认。