沙眼衣原体与产后输卵管结扎的发热并发症
Chlamydia trachomatis and febrile complications of postpartum tubal ligation.
作者信息
Todd C S, Jones R B, Golichowski A, Arno J N
机构信息
Department of Medicine, Indiana University School of Medicine, Indianapolis, 46202-5124, USA.
出版信息
Am J Obstet Gynecol. 1997 Jan;176(1 Pt 1):100-2. doi: 10.1016/s0002-9378(97)80019-1.
OBJECTIVE
Our goal was to determine whether chlamydia-infected women have a higher rate of febrile complications after postpartum tubal ligation.
STUDY DESIGN
Cross-sectional analysis of 1447 women tested for chlamydial infection within 2 weeks of delivery and who underwent postpartum tubal ligation was performed. Subjects were identified with the Regenstrief Institute for Health Care database. Infected subjects were compared with uninfected subjects for incidence of fever not explained by nongynecologic sources.
RESULTS
Women infected with Chlamydia trachomatis at delivery were more likely to experience febrile postoperative complications after tubal ligation (p < 0.0001, relative risk 9.5, 95% confidence interval 4.5 to 20.1).
CONCLUSION
Women undergoing postpartum tuba ligation may benefit from prompt diagnosis and preoperative treatment of chlamydial infection.
目的
我们的目标是确定衣原体感染的女性在产后输卵管结扎后发生发热并发症的几率是否更高。
研究设计
对1447名在分娩后2周内接受衣原体感染检测并进行产后输卵管结扎的女性进行横断面分析。通过瑞根斯特里夫医疗保健研究所数据库识别研究对象。将感染组与未感染组在非妇科原因无法解释的发热发生率方面进行比较。
结果
分娩时感染沙眼衣原体的女性在输卵管结扎后更易出现发热性术后并发症（p < 0.0001，相对风险9.5，95%置信区间4.5至20.1）。
结论
接受产后输卵管结扎的女性可能会从衣原体感染的及时诊断和术前治疗中获益。
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