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巴西巴伊亚州一家母婴转诊机构中接受高危产前护理的孕妇的患病率。

Prevalence of in pregnant women undergoing high-risk prenatal care at a maternal and child reference unit in Bahia, Brazil.

作者信息

Santana Fabrícia Almeida Fernandes, Bomfim Jéssica, Ferraz Mariana, Cardoso Victória, Borges Jassy, Medeiros Danielle Souto de, Grijó Maurício, Campos Guilherme B, Marques Lucas Miranda

机构信息

Microbiology Department, https://ror.org/01zwq4y59State University of Santa Cruz (UESC), Ilhéus, Brazil.

Biointeraction Department, Multidisciplinary Institute of Health, https://ror.org/03k3p7647Federal University of Bahia (UFBA), Vitória da Conquista, Brazil.

出版信息

Epidemiol Infect. 2025 Jun 25;153:e73. doi: 10.1017/S0950268825100137.

Abstract

During pregnancy, colonization by genital mycoplasmas may be associated with adverse outcomes. This study was conducted to investigate the prevalence of four species of (, , , and ) in pregnant women receiving high-risk prenatal care and to evaluate possible associated factors. Data collection included the application of a questionnaire and the collection of cervical swabs from pregnant women. Species identification was performed by real-time PCR. The overall prevalence of was 60.97%. 55.9% of pregnant women were colonized by spp., and 19.51% by spp. The prevalence rates by species were 48.78% for , 11.59% for , 18.9% for , and 1.22% for Age, 12 years of schooling or more, age at first sexual intercourse up to 14 years, third trimester of pregnancy, having undergone infertility treatment, presence of STI, and groin lymph nodes were associated with a higher prevalence of microorganisms. The results presented are of utmost importance for understanding the prevalence of these microorganisms, the characteristics of colonized pregnant women, and planning screening strategies and interventions that minimize the negative impacts of these infections.

摘要

孕期生殖道支原体定植可能与不良结局相关。本研究旨在调查接受高危产前护理的孕妇中四种支原体(解脲脲原体、人型支原体、生殖支原体和发酵支原体)的流行情况,并评估可能的相关因素。数据收集包括应用问卷和采集孕妇宫颈拭子。通过实时聚合酶链反应进行菌种鉴定。解脲脲原体的总体流行率为60.97%。55.9%的孕妇被脲原体属定植,19.51%被人型支原体定植。各菌种的流行率分别为:生殖支原体48.78%、发酵支原体11.59%、人型支原体18.9%、解脲脲原体1.22%。年龄、受教育年限12年及以上、首次性交年龄14岁及以下、妊娠晚期、曾接受不孕治疗、存在性传播感染以及腹股沟淋巴结与微生物的较高流行率相关。所呈现的结果对于了解这些微生物的流行情况、定植孕妇的特征以及规划筛查策略和干预措施以尽量减少这些感染的负面影响至关重要。

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