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妊娠糖尿病患者中B族链球菌引起的直肠阴道定植和尿路感染

Recto-vaginal colonization and urinary tract infection by group B Streptococcus in the pregnant diabetic patient.

作者信息

Matorras R, Garcia-Perea A, Usandizaga J A, Omeñaca F

机构信息

Department of Obstetrics and Gynecology, La Paz Hospital School of Medicine, Autonomous University of Madrid, Spain.

出版信息

Acta Obstet Gynecol Scand. 1988;67(7):617-20. doi: 10.3109/00016348809004274.

DOI:10.3109/00016348809004274
PMID:3073623
Abstract

The influence of maternal diabetes on Group B Streptococcus (GBS) colonization and GBS urinary infection was investigated. The population under study comprised 1,050 pregnant women (70 of them diabetics, the remaining 980 non-diabetics). A higher prevalence of GBS colonization was found among diabetics (20% versus 10.9%) (p less than 0.05). The rate of colonization was not correlated to the severity of the diabetes condition. Urinary infection was diagnosed on 8.6% of diabetic patients, versus 7.1% of non-diabetics (p greater than 0.05). Urinary infection by GBS occurred with similar frequency in both groups (0% in diabetics and 1% in non-diabetics). The possible etiological implications are commented on, and vaginal and rectal cultures are recommended for GBS screening in the pregnant diabetic patient.

摘要

研究了母体糖尿病对B族链球菌(GBS)定植及GBS泌尿系统感染的影响。研究人群包括1050名孕妇(其中70名糖尿病患者,其余980名非糖尿病患者)。糖尿病患者中GBS定植的患病率更高(20%对10.9%)(p<0.05)。定植率与糖尿病病情的严重程度无关。糖尿病患者泌尿系统感染的诊断率为8.6%,非糖尿病患者为7.1%(p>0.05)。两组中GBS引起的泌尿系统感染发生率相似(糖尿病患者为0%,非糖尿病患者为1%)。对可能的病因学意义进行了评论,并建议对妊娠糖尿病患者进行阴道和直肠培养以筛查GBS。

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