怀孕期间尿液混合细菌生长的细菌学和临床结果
Inshirah Sgayer1,2, Gabriel Shamalov2, Silas Assi1
1Department of Obstetrics and Gynecology, Galilee Medical Center, PO Box 21, 22100, Nahariya, Israel.
International urogynecology journal
|November 8, 2023
概括
怀孕妇女的尿液培养重复,最初的结果混合,可能表明显著的细菌尿. 具有异常测量结果的有症状的女性更有可能患有真正的感染.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 尿路感染 (UTI) 在怀孕期间很常见,可能导致不良后果.
- 具有混合细菌生长的初始尿液培养具有诊断挑战.
- 确定重复培养中显著细菌尿的风险对于适当的管理至关重要.
研究的目的:
- 在初始混合细菌结果后,分析重复尿液培养的孕妇显著细菌尿的风险.
- 为了确定与积极的重复尿液培养相关的临床因素.
主要方法:
- 追溯研究母亲的特征和临床特征.
- 纳入标准:由于先前的混合结果,怀孕妇女有重复尿液培养.
- 对重复培养结果的分析,包括细菌负载和尿路病原体的存在.
主要成果:
- 21.8%的重复培养表明显著的细菌性尿 (≥10^4 CFU/ml).
- 阳性重复培养与更高的尿路症状 (38.6%),异常的测量棒结果 (49.1%) 和水 (12.3%) 相关.
- 水性化是积极重复培养的显著预测因素 (aOR = 10.65).
结论:
- 初始尿液培养中的混合细菌生长可能表明在有症状的孕妇中具有异常的测量棒发现的真实尿路感染.
- 在这种人群中,重复尿培养对诊断显著的细菌尿有价值.
- 临床迹象,如尿路症状和异常的测量棒结果,以及像水解这样的成像发现,有助于诊断.
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