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在报告的莱姆病病例中怀孕-美国,1992-2019年

Taylor D Bostic¹, Kiersten J Kugeler¹, Alison F Hinckley¹

¹Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado, USA.

Zoonoses and public health

|September 27, 2024

概括

怀孕期间的莱姆病 (LD) 是罕见的,但可能会出现早期的临床表现,如红色素移动性皮疹 (EM). 及时治疗对于防止孕妇出现不良后果至关重要.

科学领域:

流行病学流行病学
传染性疾病传染性疾病
公共卫生公共卫生

背景情况:

莱姆氏病 (Lyme disease,简称LD) 是美国最常见的媒介性疾病,常常伴有红血红斑 (erythema migrans,简称EM) 发疹.
未经治疗的LD可能会导致严重的心脏,关节或神经系统问题.
之前的LD监测数据缺乏有关怀孕相关病例的详细信息.

研究的目的:

分析怀孕期间LD病例的频率,人口统计和临床特征.
为了比较孕妇和非孕妇的LD病例.

主要方法:

利用美国疾病预防控制中心1992-2019年间的监测数据.
根据性别,年龄 (14-49岁) 和怀孕状态,怀孕期间确定的LD病例.
孕妇和非孕妇之间的临床表现和季节性比较.

主要成果:

在698,876例LD病例中,有643例是在怀孕期间报告的 (0.6%).
孕妇中LD发病率在6月达到顶峰,略早于非孕妇 (7月).
确诊的LD的孕妇更有可能只出现EM皮疹 (66%vs60%).

结论:

怀孕期间的LD病例并不常见.
孕妇可能会出现较早的LD临床症状,可能是由于医疗保健参与度增加.
怀孕期间LD的早期诊断和治疗对于预防严重的孕产妇和胎儿并发症至关重要.

关键词:

波雷莉亚的形虫 (Borrelia burgdorferi) 是一种形虫.莱姆病是莱姆病的一种疾病.怀孕怀孕怀孕怀孕怀孕监控监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督

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