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在瑞典怀孕期间与抗生素使用相关的因素:基于人口的队列研究
Aya Olivia Nakitanda1, Laura Pazzagli2, Björn Pasternak2,3
1Centre for Pharmacoepidemiology, Department of Medicine Solna, Karolinska Institutet, Eugeniahemmet T4, Astrid Cleves gata 30A, Stockholm, 17176, Sweden. aya.nakitanda@ki.se.
BMC pregnancy and childbirth
|June 19, 2025
概括
怀孕期间使用抗生素与现有的健康状况和较年轻的孕产妇年龄有关. 积极管理这些因素可以帮助减少产前护理期间不必要的抗生素处方.
科学领域:
- 产科和妇科 产科和妇科
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 在怀孕期间使用抗生素需要仔细考虑,因为潜在的风险.
- 确定影响抗生素处方的因素对于优化治疗至关重要.
研究的目的:
- 调查与孕妇系统性抗生素使用相关的个人层面的因素.
主要方法:
- 一项基于人口的队列研究利用了瑞典国家卫生和人口登记册 (2006-2019).
- 分析了社会人口统计,医疗,产科,生活方式和医疗保健利用数据.
- 后勤回归估计了抗生素使用的概率比率,包括作为次要结果的宽谱和多种疗程.
主要成果:
- 怀孕前使用处方药,慢性病和母亲年龄低与使用抗生素有很强的关联.
- 慢性病,免疫缺陷和广泛的孕前药物使用显示,广泛的抗生素和多种抗生素疗程的几率最高.
结论:
- 预先存在的疾病和年轻的孕产妇年龄是怀孕期间使用抗生素的关键决定因素.
- 建议采用基于需要的处方方法.
- 积极主动地管理母亲健康和预防感染,特别是对于年轻女性来说,可能会减少抗生素的使用.
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