文章摘要
孕晚期B族链球菌感染情况对妊娠结局的影响
Influences of group B Streptococcus infection on pregnancy outcome in late pregnancy
  
DOI:10.3969/j.issn.1007-8134.2019.06.015
中文关键词: 孕晚期孕妇  B族链球菌  妊娠结局
英文关键词: pregnant women in late pregnancy  group B Streptococcus  pregnancy outcome
基金项目:北京市属医院科研培育计划(PG20181706)
作者单位
崔秋月 北京积水潭医院产科 
郑 蓉 北京积水潭医院产科 
杨 帆 北京积水潭医院产科 
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中文摘要:
      目的 研究孕晚期妇女B族链球菌(group B Streptococcus, GBS)感染情况对妊娠结局的影响。方法 采集2016年6月—2018年8月在北京积水潭医院产科进行产前检查的孕35~37周160例待产孕妇的阴道与肛周分泌物,常规用荧光定量PCR法和细菌培养法进行筛查,按照检测结果分为GBS阳性组和GBS阴性组,分析GBS感染情况对孕妇妊娠结局的影响。结果 160例孕晚期妇女GBS阳性者82例,阳性率51.25%(82/160)。2组在年龄、孕周、产次方面进行对比,差异均无统计学意义(P均>0.05)。GBS阳性组产后出血率(40.24%)、胎膜早破率(20.73%)、宫内感染率(24.39%)均高于GBS阴性组,差异有统计学意义(P均<0.05)。分离的82株GBS对青霉素G、头孢曲松、氨苄青霉素、利奈唑胺敏感率均为100%;对四环素、克拉霉素、万古霉素、左氧氟沙星、红霉素、克林霉素敏感率分别为7.31%、8.54%、82.93%、68.29%、71.95%、68.29%。结论 孕妇在孕晚期感染GBS将会增加产后出血,宫内感染,胎膜早破的发生率,对妊娠结局产生不良影响。孕妇在孕晚期进行GBS筛查是非常有必要的。
英文摘要:
      Objective To study the effect of group B Streptococcus (GBS) infection on pregnancy outcomes of pregnant women in late pregnancy. Methods One hundred and sixty prepartal women at gestational 35-37 weeks who received prenatal examination in Beijing Jishuitan Hospital from June 2016 to August 2018 were included in this study, to collect their vaginal secretions and perianal secretions. Quantitative fluorescence polymerase chain reaction and bacterial culture method were used to screen the secretions. According to the results, they were divided into GBS positive group and GBS negative group. The effects of GBS infection on pregnancy outcome were analyzed. Results Among the included 160 pregnant women, there were 82 GBS positive cases, and the positive rate of GBS was 51.25% (82/160). There were no significant differences in the age, gestational week and parity between the 2 groups (P>0.05). The incidences of postpartum hemorrhage (40.24%), premature rupture of membranes (20.73%) and intrauterine infection (24.39%) in the GBS positive group were higher than those in the GBS negative group (P<0.05). Eighty-two strains of GBS were isolated and all were susceptible to penicillin G, ceftriaxone, penbritin, linezolid, accounting for 100%. The susceptibility rates to tetracycline, clarithromycin, vancomycin, levofloxacin, erythromycin and clindamycin were 7.31%, 8.54%, 82.93%, 68.29%, 71.95% and 68.29%, respectively. Conclusions Pregnant women infected with GBS in late pregnancy will increase the incidence of postpartum hemorrhage, intrauterine infection and premature rupture of membranes, thus induce adverse effects on pregnancy outcomes. It is necessary to screen GBS in late pregnancy.
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