在泰国糖尿病孕妇中无症状细菌尿的流行率
Saifon Chawanpaiboon1, Tirawan Buayaem2, Supavadee Sodsee2
1Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
African journal of reproductive health
|August 16, 2023
概括
患有高BMI的糖尿病孕妇患有无症状细菌性尿病 (ASB) 的风险增加. 建议对这一高危人群进行早期尿样查,以预防并发症.
科学领域:
- 产科和妇科 产科和妇科
- 糖尿病学 糖尿病学
- 传染性疾病 传染性疾病
背景情况:
- 患有糖尿病的孕妇面临更高的尿路感染 (UTI) 风险.
- 怀孕期间的尿路感染可能会导致诸如早产和低出生体重等不良结果.
- 无症状细菌尿 (ASB) 是一种常见的尿路感染,在怀孕期间需要注意.
研究的目的:
- 为了确定ASB在糖尿病孕妇中的患病率.
- 在这个人群中识别与ASB相关的风险因素.
- 强调在高风险怀孕中进行ASB查的重要性.
主要方法:
- 一项前性观察性研究,涉及110名糖尿病孕妇 (妊娠12-20周).
- 根据尿液分析 (≥5个白血细胞/HPF) 诊断ASB,然后进行尿液培养.
- 孕期糖尿病 (GDM) 的分类和身体质量指数 (BMI) 的记录.
主要成果:
- 在ASB的患病率为7.2% (8/110例).
- 在一个案例中发现了Klebsiella aerogenes.
- 在糖尿病孕妇中,ASB与高BMI具有统计学意义的关联.
结论:
- ASB影响了7.2%的糖尿病孕妇.
- 在这个群体中,高BMI是ASB的重要风险因素.
- 建议对糖尿病孕妇进行例行尿检查,特别是那些BMI高的孕妇.
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