怀孕妇女查梅毒感染:美国预防服务工作组重申建议声明
, Susan J Curry1, Alex H Krist2,3
1University of Iowa, Iowa City.
JAMA
|September 8, 2018
概括
建议对孕妇进行早期梅毒查. 有效治疗可以预防先天性梅毒,显著降低婴儿死亡率和发病率,并最小化伤害.
科学领域:
- 公共卫生
- 预防传染病
- 产妇和胎儿医学
背景情况:
- 孕妇未经治疗的梅毒会导致先天性梅毒,导致死产,新生儿死亡和婴儿发病.
- 从2012年到2016年,先天性梅毒病例显著增加,反映了在生育年龄的妇女中全国梅毒率的上升.
研究的目的:
- 更新美国预防服务工作组 (USPSTF) 2009年关于孕妇梅毒查的建议.
- 评估怀孕妇女查和治疗梅毒的益处和危害的新证据.
主要方法:
- 美国公务员部队进行了证据更新.
- 审查重点是查预防先天性梅毒的好处以及与查和治疗相关的危害.
主要成果:
- 有准确的梅毒查算法.
- 抗生素治疗有效地预防先天性梅毒,并减少妊娠的不良后果.
- 与查和治疗相关的危害是最小的,
结论:
- 美国公共卫生卫生检查委员会重申,对孕妇进行梅毒感染查有很大的益处.
- USPSTF建议所有孕妇进行早期梅毒查.
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