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[西班牙无症状孕妇新冠病毒筛查登记处。]

[Spanish registry of Covid-19 screening in asymptomatic pregnants.].

作者信息

Encinas Pardilla María Begoña, Caño Aguilar África, Marcos Puig Beatriz, Sanz Lorenzana Amelia, Rodríguez de la Torre Iria, Hernando López de la Manzanara Paloma, Fernández Bernardo Ana, Martínez Pérez Óscar

机构信息

Profesor Honorario Facultad de Medicina. Universidad Autónoma de Madrid. Especialista en Obstetricia y Ginecología. Servicio de Obstetricia y Ginecología. Hospital Universitario Puerta de Hierro de Majadahonda. Madrid. España.

Profesora Asociada en Ciencias de la Salud. Universidad de Granada. Facultativa Especialista de Área. Servicio de Obstetricia y Ginecología. Hospital Clínico Universitario San Cecilio. Granada. España.

出版信息

Rev Esp Salud Publica. 2020 Sep 18;94:e202009092.

Abstract

OBJECTIVE

The Spanish registry of Covid-19 in Spanish pregnant women, made up of 100 centers, is created in response to the need to know the morbidity that Covid-19 generates in pregnant women and their newborns, to know the real incidence of the disease in this population group and to establish and monitor the package of measures to improve their care. The aim of this paper was the creation of a registry of pregnant women with Covid-19 infection in order to establish the interventions and measures necessary to improve the care of these patients during hospital admission.

METHODS

To prepare the registry, the main researcher of each center collected weekly / biweekly the number of total pregnant women screened, as well as the total number of positive and negative, sending these data to the responsible researchers so that it could be available in real time of the percentage of infected asymptomatic pregnant population and the evolution by weeks in the centers of each participating province. The data were analyzed using the linear regression test and the Mantel test.

RESULTS

As of May 31sup> 2020, 16,308 screening tests were carried out in these hospitals, in which 338 pregnant women were positive, which translates into 2.07% (95% Confidence Interval: 1.86-2.30) of the asymptomatic pregnant women we attended in our centers were carriers of the virus and could develop the disease in subsequent days.

CONCLUSIONS

The Spanish epidemiological registry allows us to know the incidence of infection in pregnant women attended in the Spanish delivery centers, as well as the weekly and / or fortnightly evolution of the same, observing a significant decrease in the proportion of positive pregnant women over the total of screenings throughout this period, with an average of 6.5% in early April 2020 to an average of 0.93% positive in late May 2020.

摘要

目的

西班牙新冠病毒感染孕妇登记处由100个中心组成,其设立是为了了解新冠病毒在孕妇及其新生儿中产生的发病率,知晓该疾病在这一人群中的实际发病率,并制定和监测改善其护理的一系列措施。本文的目的是创建一个新冠病毒感染孕妇登记处,以确定在住院期间改善这些患者护理所需的干预措施和方法。

方法

为准备该登记处,每个中心的主要研究人员每周/每两周收集接受筛查的孕妇总数,以及阳性和阴性总数,并将这些数据发送给负责的研究人员,以便实时获取无症状感染孕妇群体的百分比以及每个参与省份各中心按周的变化情况。使用线性回归检验和曼特尔检验对数据进行分析。

结果

截至2020年5月31日,这些医院共进行了16308次筛查检测,其中338名孕妇呈阳性,这意味着我们中心接待的无症状孕妇中有2.07%(95%置信区间:1.86 - 2.30)是病毒携带者,且可能在随后几天发病。

结论

西班牙流行病学登记处使我们能够了解西班牙分娩中心所接待孕妇的感染发生率,以及其每周和/或每两周的变化情况,观察到在此期间阳性孕妇在总筛查人数中的比例显著下降,从2020年4月初的平均6.5%降至2020年5月底的平均0.93%呈阳性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af5a/11587224/379e82468912/1135-5727-resp-94-e202009092-g011.jpg

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