在怀孕期间进行克拉米迪亚和淋病检测:是时候改善遵守和更新建议了
Harvey W Kaufman1, Damian P Alagia1, Ky Van1
1From the Quest Diagnostics, Secaucus, NJ.
Journal of lower genital tract disease
|July 22, 2024
概括
遵守产前克拉米迪亚和淋病检测的国家指南是不理想的. 许多阳性测试的孕妇没有被重新检测,这可能会增加母亲和新生儿的疾病负担.
科学领域:
- 生殖健康 生殖健康
- 预防传染病 预防传染病
- 公共卫生监督 公共卫生监督
背景情况:
- 甲状腺炎和尼塞利亚淋病感染在怀孕期间存在风险.
- 国家指南建议在怀孕期间对这些感染进行查和再检测.
- 低于最佳的遵守指南可能会影响母亲和新生儿的健康结果.
研究的目的:
- 评估在怀孕期间对克拉米迪亚和淋病检测的国家建议的遵守情况.
- 评估治疗/清除和持久性/再感染的测试.
- 识别当前测试协议中的差距.
主要方法:
- 克拉米迪亚和淋病核酸放大试验 (NAATs) 的分析.
- 2010年1月至2022年7月的主要国家参考实验室的数据.
- 包括超过350万怀孕者和400万怀孕.
主要成果:
- 最初的克拉米迪亚和淋病阳性率分别为3.7%和0.4%.
- 大约71%的最初阳性克拉米迪亚病例被重新检测,时间有所变化.
- 超过三分之一的阳性病例缺乏晚期怀孕再检测,许多人在分娩前没有负面检测.
结论:
- 在怀孕期间遵守当前的克拉米迪亚和淋病检测建议是不理想的.
- 目前的检测实践可能不足以减少疾病负担.
- 更好地遵守指南对于保护母亲和新生儿健康至关重要.
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