怀孕中的帕尔沃病毒B19-我们是否对第五种疾病进行查?
Andrei Mihai Malutan1, Cristina Mihaela Ormindean1, Doru Diculescu1
12nd Department of Obstetrics and Gynecology, 'Iuliu Hatieganu' University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania.
Life (Basel, Switzerland)
|January 8, 2025
概括
孕妇感染帕尔沃病毒B19 (B19V) 可能导致严重的胎儿并发症,如贫血和水. 在高风险群体中,查可能是有益的,以改善围产期的结果.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 胎儿医学 胎儿医学
背景情况:
- 帕尔沃病毒B19感染,导致红血炎感染性 (第五种疾病),影响1%-5%的孕妇.
- 季节性变化和职业暴露增加了孕妇的风险,特别是那些有幼儿的孕妇.
- 垂直传播发生在33-51%的母亲感染中,对胎儿构成重大风险.
研究的目的:
- 审查有关怀孕期间帕尔沃病毒B19感染的文献.
- 评估B19V感染对怀孕和胎儿结果的影响.
- 确定对孕妇进行B19V.查的必要性和潜在益处.
主要方法:
- 使用PubMed,Cochrane图书馆和谷歌学者进行了全面的文献审查.
- 专注于过去10年的出版物.
- 优先考虑有关怀孕期间帕尔沃病毒B19感染的研究.
主要成果:
- 母亲帕尔沃病毒B19感染与胎儿贫血,心力衰竭和非免疫性水有关.
- 先天性B19V感染可能导致胎儿发病率和死亡率增加.
- 精确识别和治疗受影响的胎儿可以改善围产期的结果.
结论:
- 在特定的人群中和在流行病期间,可以考虑对帕尔沃病毒B19感染进行例行查.
- 查可以帮助及时干预先天性B19V感染.
- 改进的识别和管理策略对于减轻不良围产期结果至关重要.
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