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COVID-19对B组链球菌殖民流行和怀孕结果的影响:单中心回顾性研究
Shuang Wang1, Roksana Behruzi2, Muhammad Ramzan Tahir3
1Faculty of Medicine and Health Sciences, McGill University, 845 Sherbrooke St W, Montreal, Quebec H3A 0G4, Canada.
概括
COVID-19大流行并没有增加孕妇B组链球菌 (GBS) 的殖民. 然而,转移原因的变化和分娩后转移的增加表明,疫情期间医疗保健实践发生了变化.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 乙组链球菌 (GBS) 是新生儿感染的重要原因.
- COVID-19大流行影响了全球的医疗保健系统,可能会影响产科结果.
- 了解大流行期间的GBS患病率和相关并发症对于孕产妇和新生儿健康至关重要.
研究的目的:
- 评估COVID-19大流行对孕妇GBS殖民的流行程度的影响.
- 调查疫情是否影响了GBS殖民女性的怀孕并发症.
- 为了比较流行前和流行后的GBS发病率以及相关的孕产妇/新生儿结局.
主要方法:
- 从2016年到2023年,对2,448名孕妇进行了回顾性图表审查.
- 在COVID-19发作之前和之后的GBS患病率和妊娠并发症的比较.
- 分析主要结果,包括流产,各种类型的转移和Apgar分数.
主要成果:
- GBS 患病率保持稳定 (29.43% 在疫情前 vs 26.59% 在疫情后),在2020年出现了高峰.
- 在GBS阳性女性中,COVID-19和新生儿转移之间发现了反向关系.
- 在大流行期间,人们观察到阿帕尔分数在7以下的增加和转移原因的改变.
结论:
- COVID-19并没有导致孕妇GBS殖民的患病率增加.
- 疫情似乎影响了医疗保健实践,导致转移模式和原因发生了变化.
- 需要进一步的研究,以了解对孕产妇和新生儿护理的长期影响.
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