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孕期菌尿

Bacteriuria in pregnancy.

作者信息

Reddy J, Campbell A

出版信息

Aust N Z J Obstet Gynaecol. 1985 Aug;25(3):176-8. doi: 10.1111/j.1479-828x.1985.tb00638.x.

DOI:10.1111/j.1479-828x.1985.tb00638.x
PMID:3910015
Abstract

In a racially mixed community in Gisborne, New Zealand, the prevalence of asymptomatic (covert) bacteriuria of pregnancy was 9.6%. The prevalence in Maori women was 17.1% and in non-Maori women 4.7%. There was a higher prevalence of bacteriuria in the younger women. Escherichia coli was the infecting organism in 58 of the 72 women with bacteriuria. Twenty-five (44%) of the E. coli were resistant to ampicillin and amoxycillin. Fifty-eight (81%) of the women with bacteriuria also had pyuria. In 37 of the 44 women (84%) who received antimicrobial therapy, the infection was cured. Single dose therapy was just as effective as a course of treatment. In 14 of the 28 untreated women, the infection cleared spontaneously. Four of the 28 (14%) patients in the untreated bacteriuric group developed acute pyelonephritis. More patients with bacteriuria had anaemia and a low fetal birth-weight.

摘要

在新西兰吉斯伯恩一个多种族混居的社区,孕期无症状(隐匿性)菌尿的患病率为9.6%。毛利族女性的患病率为17.1%,非毛利族女性为4.7%。年轻女性菌尿的患病率更高。72例菌尿女性中有58例感染菌为大肠杆菌。其中25株(44%)大肠杆菌对氨苄西林和阿莫西林耐药。58例(81%)菌尿女性也有脓尿。44例接受抗菌治疗的女性中,37例(84%)感染治愈。单剂量疗法与一个疗程的治疗效果相同。28例未治疗的女性中,14例感染自行清除。未治疗的菌尿组28例患者中有4例(14%)发生急性肾盂肾炎。更多菌尿患者存在贫血和低出生体重儿。

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引用本文的文献

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Bacteriuria in pregnancy: a comparison of Bangladeshi and Caucasian women.妊娠期菌尿:孟加拉国女性与白种女性的比较
Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(1):8-12. doi: 10.1007/BF01920287.
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Urinary tract infection during pregnancy: its association with maternal morbidity and perinatal outcome.妊娠期尿路感染:其与孕产妇发病率及围产期结局的关联
Am J Public Health. 1994 Mar;84(3):405-10. doi: 10.2105/ajph.84.3.405.