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妊娠期阴道念珠菌感染及其对胎儿健康的影响。

Vaginal Candida infection in pregnancy and its implications for fetal well-being.

机构信息

Department of Obstetrics and Gynecology, Olabisi Onabanjo University, Sagamu, Ogun State, Nigeria.

Department of Obstetrics and Gynecology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.

出版信息

Afr J Reprod Health. 2020 Sep;24(3):33-40. doi: 10.29063/ajrh2020/v24i3.4.

Abstract

Vaginal Candida infection is one of the most common genital tract infections reported in pregnant women. This study was designed to determine the prevalence of vaginal Candida infection and pattern of Candida species isolates in the genital tract of pregnant women during antenatal period and in early labour; and the associated fetal outcome. The study was conducted at the antenatal clinic and labor ward of Olabisi Onabanjo University Teaching Hospital Sagamu, Ogun State, Nigeria. High vaginal swabs were collected from 408 pregnant women at the antenatal clinic and repeated in early labour. The samples were processed to isolate Candida species. Data were analysed using Statistical Package for Social Science (SPSS) windows version 21.0 (IBM Corp., Armonk, NY, USA). Prevalence of Candida infection was significantly higher in early labour (46%) than during antenatal period (38%) (P=0.02). Candida albicans was the predominant isolate, followed by Candida glabrata and Candida tropicalis. Candida infection was associated with increased likelihood of low birth weight babies (AOR 2.8, CI: 1.1-6.8; P= 0.03). However there was no statistically significant effect of Candida infection on the likelihood of preterm delivery (AOR 1.4, CI: 0.7-2.6; P= 0.35). Routine screening and prompt treatment of women at risk of delivering low birth weight babies is advocated.

摘要

阴道念珠菌感染是孕妇中最常见的生殖道感染之一。本研究旨在确定妊娠期间和分娩早期阴道念珠菌感染的流行率以及生殖道念珠菌分离株的模式;并探讨其与胎儿结局的关系。该研究在尼日利亚奥贡州萨伽穆的奥拉比西·奥巴尼约大学教学医院的产前诊所和产房进行。在产前诊所采集了 408 名孕妇的阴道拭子,并在分娩早期重复采集。对样本进行处理以分离念珠菌属。使用社会科学统计软件包(SPSS)窗口版本 21.0(IBM 公司,纽约州阿蒙克)对数据进行分析。分娩早期的念珠菌感染患病率(46%)明显高于妊娠期间(38%)(P=0.02)。白念珠菌是主要的分离株,其次是光滑念珠菌和热带念珠菌。念珠菌感染与低出生体重儿的发生几率增加有关(AOR 2.8,CI:1.1-6.8;P=0.03)。然而,念珠菌感染对早产的发生几率没有统计学上的显著影响(AOR 1.4,CI:0.7-2.6;P=0.35)。建议对有分娩低出生体重儿风险的妇女进行常规筛查和及时治疗。

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