François P, Rouhan D, Hirtz P, Beaudoing A
Clinique médicale infantile, CHRU de Grenoble, France.
Pediatrie. 1988;43(2):101-8.
In developed countries, Chlamydia trachomatis (CT) is found on the cervix of the uterus in 2-8% of pregnant women. Two thirds of neonates from infected mothers are contaminated at delivery at the level of ocular, respiratory and digestive mucosal surfaces. This infection is responsible for 40% of neonatal conjunctivitis and afebrile pneumonitis in the second and third month after birth. In older children and adolescents, CT is responsible for genital infections contracted by venereal contact. The treatment requires taking a macrolide orally for 15 days. Prevention requires the detection of high-risk women, and hygiene in sexual intercourse.
在发达国家,2%至8%的孕妇子宫颈处可检测到沙眼衣原体(CT)。受感染母亲的三分之二新生儿在分娩时会在眼部、呼吸道和消化道黏膜表面受到感染。这种感染导致40%的新生儿结膜炎以及出生后第二和第三个月的无热性肺炎。在大龄儿童和青少年中,CT会引发通过性接触感染的生殖器感染。治疗需要口服大环内酯类药物15天。预防需要检测高危女性,并注意性交卫生。