孕妇肺囊炎感染:一个范围审查
Irene Calderón-Baturone1, Rocío Salsoso2, Elena Charpentier2,3
1Programa de Doctorado en Ciencias de la Salud, Universidad de Sevilla, 41009 Seville, Spain.
肺炎是孕妇的风险,特别是那些患有艾滋病毒或血液恶性瘤的孕妇. 需要对其传播和对新生儿的影响进行更多的研究.
科学领域:
- 医学真菌学 医学真菌学
- 传染性疾病 传染性疾病
- 产科和妇科 产科和妇科
背景情况:
- 肺囊 (Pneumocystis jirovecii) 在免疫受损的个体中引起严重的肺炎.
- 怀孕涉及免疫调节,可能增加母亲殖民/感染和垂直传播的风险.
- 了解怀孕期间的肺囊炎对于母亲和新生儿的健康至关重要.
研究的目的:
- 绘制关于肺囊菌殖民和怀孕期间感染的现有证据.
- 识别知识缺口,患病率,风险因素和新生儿后果.
- 为临床实践和未来研究方向提供信息.
主要方法:
- 根据PRISMA-ScR指南进行范围审查.
- 在三个数据库中进行系统的文献搜索.
- 包括26项研究 (19例肺炎,7例殖民).
主要成果:
- 大多数孕妇肺囊炎肺炎病例与抗逆转录病毒前治疗HIV有关;最近的病例涉及血液恶性瘤.
- 肺囊的殖民率有很大的差异 (5.4-46.5%).
- 有证据表明垂直传播,但新生儿影响需要进一步调查.
结论:
- 建议在孕妇中进行艾滋病毒查.
- 在怀孕妇女肺炎的差异诊断中应考虑肺囊炎.
- 提高认识和研究对于改善孕产妇和新生儿的健康状况至关重要.
更多相关视频
06:15Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
05:50International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
相关概念视频
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Pneumonia II: Pathophysiology
Pneumonia III: Complications and Assessment
Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Pneumonia I: Introduction
