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孕期糖尿病作为GBS母体直阴殖民的危险因素:系统性审查和元分析
Vicki Mercado-Evans1,2, Jacob J Zulk1, Zainab A Hameed1
1Department of Molecular Virology and Microbiology, Baylor College of Medicine, One Baylor Plaza, MS 385, Houston, TX, 77030, USA.
BMC pregnancy and childbirth
|July 20, 2024
概括
孕期糖尿病和孕期糖尿病显著增加了母亲B组链球菌 (GBS) 殖民的风险. 识别这些条件有助于GBS查和预防围产期GBS疾病.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 内分泌学 在内分泌学.
背景情况:
- 孕产妇B组链球菌 (GBS) 殖民造成围产期GBS疾病的风险.
- 对GBS携带风险因素的不完全理解限制了检测策略.
- 孕期糖尿病 (GDM) 和GBS携带之间的联系受到争论.
研究的目的:
- 解决关于GDM作为GBS殖民的风险因素的相互矛盾的发现.
- 确定GDM是否值得对母亲GBS查进行临床考虑.
主要方法:
- 对同行评审研究进行系统审查和元分析.
- 包括报告GDM患病率和GBS殖民性在GDM和没有GDM的女性中的研究.
- 使用修改的纽卡斯尔-太华尺度评估偏差风险;用随机效应元分析合成结果.
主要成果:
- 分析了10个国家的266,706名女性 (1981-2020年).
- 妊娠糖尿病与GBS携带风险增加16%相关 (OR 1.16).
- 妊娠期糖尿病与GBS携带风险增加76%相关 (OR 1.76).
结论:
- 孕期和孕期糖尿病是孕妇GBS携带的重要危险因素.
- 在GBS查中对GDM的临床考虑可以减少围产期GBS疾病负担.
- 建立了关于糖尿病作为GBS殖民的风险因素的共识.
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