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坦桑尼亚奔巴岛孕妇及产后妇女中[具体病症未明确]、[具体病症未明确]和[具体病症未明确]的自然病程

The Natural Course of , and in Pregnant and Post-Delivery Women in Pemba Island, Tanzania.

作者信息

Juliana Naomi C A, Omar Abdulla Mbaruk, Pleijster Jolein, Aftab Fahad, Uijldert Nina B, Ali Said M, Ouburg Sander, Sazawal Sunil, Morré Servaas A, Deb Saikat, Ambrosino Elena

机构信息

Department of Genetics and Cell Biology, Institute for Public Health Genomics (IPHG), Faculty of Health, Medicine & Life Sciences, Research School GROW (School for Oncology & Developmental Biology), University of Maastricht, 6229 ER Maastricht, The Netherlands.

Public Health Laboratory-Ivo de Carneri, Chake, Pemba Island, Tanzania.

出版信息

Microorganisms. 2021 May 30;9(6):1180. doi: 10.3390/microorganisms9061180.

Abstract

This study aimed to determine the persistence of (CT), (NG), (TV) and (MG) infections during pregnancy and after delivery in vaginal swabs of women from Pemba Island, Tanzania. In the context of an earlier biobanking effort, vaginal swabs were collected at two timepoints during pregnancy and once post-delivery. Detection of CT, NG, TV, and MG was performed by PCR using validated detection kits in samples from 441 pregnant women aged 16-48 years old. Among those, 202 samples were matched during pregnancy and 38 at the second timepoint of the pregnancy and post-delivery CT infection persistence during pregnancy was 100% ( = 11) after an average of eight weeks, that of TV infection 82% ( = 11) after ten weeks, and that of MG infection 75% ( = 4) after ten weeks. Post-delivery (after approximately 22 weeks) infection persistence was 100% for CT ( = 1) and 20% for TV ( = 5). NG was only detected at the last collection timepoint, its persistence rate could not be determined. These results show persistence and clearance of curable infections during and after pregnancy. Analysis of biobanked samples is a valuable approach in the investigation of the natural history of curable pathogens.

摘要

本研究旨在确定坦桑尼亚奔巴岛女性阴道拭子中沙眼衣原体(CT)、淋病奈瑟菌(NG)、阴道毛滴虫(TV)和生殖支原体(MG)感染在孕期及产后的持续情况。在早期生物样本库建设工作的背景下,在孕期的两个时间点以及产后采集了阴道拭子。使用经过验证的检测试剂盒,通过聚合酶链反应(PCR)对441名年龄在16 - 48岁的孕妇样本进行CT、NG、TV和MG检测。其中,202份样本在孕期进行了配对,38份样本在孕期的第二个时间点以及产后进行了配对。孕期CT感染持续率在平均8周后为100%(n = 11),TV感染在10周后为82%(n = 11),MG感染在10周后为75%(n = 4)。产后(约22周后)CT感染持续率为100%(n = 1),TV感染为20%(n = 5)。NG仅在最后一个采集时间点被检测到,其持续率无法确定。这些结果显示了孕期及产后可治愈感染的持续和清除情况。分析生物样本库中的样本是研究可治愈病原体自然史的一种有价值的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47be/8228750/a39e24c7dd96/microorganisms-09-01180-g001.jpg

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