感染症に関連する死産
Robert L Goldenberg1, Elizabeth M McClure, Sarah Saleem
1Drexel University College of Medicine, Philadelphia, PA 19102, USA. rgoldenb@drexelmed.edu
Lancet (London, England)
|March 13, 2010
まとめ
感染症は,特に低所得国において,世界中で死産の有意な部分の原因となっています. シフィリスやマラリアなどの特定の感染症を標的とする戦略は,死産の予防に不可欠です.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 感染症 感染症は感染症です.
- グローバル・ヘルス グローバル・ヘルス
背景:
- 感染症は,世界中で死産の主要な原因であり,高所得国と比較して低・中所得国 (LMICs) でより高い罹患率があります.
- 梅毒は感染性死産の主要な原因であり,スクリーニングと治療に適しています.
- 他の重要な感染症の原因には,上昇する細菌感染症,ウイルス感染症,マラリア,動物性感染症が含まれます.
研究 の 目的:
- 感染が死産率に及ぼす世界的な影響を強調する.
- 死産に関連する特定の伝染病原体とリスク要因を特定する.
- ターゲットを絞った予防戦略の必要性を強調する,特にLMICsで.
主な方法:
- この研究は,感染と死産に関する既存の文献のレビューです.
- これは,世界の死産率に対する様々な感染症の流行と影響に関するデータを合成しています.
- 感染性死産の現在のおよび潜在的な予防戦略について議論しています.
主要な成果:
- LMICでは,感染が死産の50%以上の原因となり,高所得国では10~25%の死産の原因となっている.
- 梅毒は,最も一般的な感染症の原因であり,介入に適しています.
- マラリアとバクテリア感染の上昇も重要な要因である.
結論:
- 世界的に死産を減らすには,感染の予防と管理のための効果的な戦略が必要です.
- シフィリス,マラリア,その他の流行性感染症に対する標的型介入は不可欠です.
- LMICにおける動物性感染症やベクトル感染に対する効果的な予防戦略を開発・実施するために,さらなる研究が必要である.
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