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孕妇尿路感染。

Urinary Tract Infections in Pregnant Individuals.

出版信息

Obstet Gynecol. 2023 Aug 1;142(2):435-445. doi: 10.1097/AOG.0000000000005269.

Abstract

Urinary tract infection (UTI) is one of the more common perinatal complications, affecting approximately 8% of pregnancies (1, 2). These infections represent a spectrum, from asymptomatic bacteriuria, to symptomatic acute cystitis, to the most serious, pyelonephritis. The presence of UTIs has been associated with adverse pregnancy outcomes, including increased rates of preterm delivery and low birth weight. Screening for and treating asymptomatic bacteriuria have been shown in multiple studies to reduce the incidence of pyelonephritis in pregnancy (3-5). Given the frequency at which UTIs are encountered in pregnancy, the ability to recognize, diagnose, and treat them is essential for those providing care to pregnant individuals. This Clinical Consensus document was developed using an established protocol in conjunction with the authors listed.

摘要

尿路感染(UTI)是围产期更常见的并发症之一,约影响 8%的妊娠(1,2)。这些感染呈谱性分布,从无症状菌尿到有症状的急性膀胱炎,再到最严重的肾盂肾炎。UTI 的存在与不良妊娠结局相关,包括早产率和低出生体重增加。多项研究表明,筛查和治疗无症状菌尿可降低妊娠期肾盂肾炎的发生率(3-5)。鉴于妊娠期间 UTI 的发生频率,对于为孕妇提供护理的人来说,识别、诊断和治疗 UTI 的能力至关重要。本临床共识文件是使用既定方案与列出的作者共同制定的。

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