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Association of vaginal infections in Preterm labour

机译:早产中阴道感染的关联

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Background: Preterm labour is defined as onset of regular uterine contractions associated with cervical changes between 28-37 completed weeks of gestation. Prematurity is the cause of 85% neonatal morbidity and mortality. Preterm labour has multiple etiologies. Vaginal infections have been associated with increased risk for preterm labour. Screening for genitourinary infections antenatally, especially in high risk cases, prompt recognition and treatment decrease the incidence of preterm labour. Methods: Ours was a prospective and retrospective observational study done at Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation from April 2016 to February 2018 in the Department of Obstetrics and Gynaecology. The aim is to study the association of vaginal infections in preterm labour. A total of 116 women in preterm labor were studied. After clinical examination, CBP, CUE, Ultrasound, urine culture and sensitivity were done. Vaginal swab was taken from posterior fornix and sent for culture and sensitivity and gram staining .Culture and sensitivity were done in the Department of Microbiology at our Institute. Results: Out of 116 women in preterm labour, urinary tract infection was seen in 27.58% women. E. Coli was the commonest microorganism isolated in urine (15.51%). Vaginal infections were seen in 33.62% women. Candida was the commonest microorganism isolated in HVS cultures. Conclusions: Screening for genitourinary infections in pregnancy is necessary, especially in high risk cases. Early detection and prompt treatment of genitourinary infections decrease the incidence of preterm labor, thereby decreasing the neonatal morbidity and mortality associated with prematurity.
机译:背景:早产定义为在妊娠28至37周完成之间伴随子宫颈变化而发生的定期子宫收缩。早产是造成85%新生儿发病率和死亡率的原因。早产有多种病因。阴道感染与早产风险增加有关。产前筛查泌尿生殖道感染,尤其是在高危病例中,及时识别和治疗可降低早产的发生率。方法:我们是2016年4月至2018年2月在Pinnamaneni Siddhartha医学和研究基金会的医学与妇产科学系进行的前瞻性和回顾性观察研究。目的是研究早产中阴道感染的相关性。共研究了116名早产妇女。临床检查后,进行CBP,CUE,超声,尿培养和敏感性检查。阴道拭子取自后穹ni,进行培养,敏感性和革兰氏染色。培养和敏感性在我们研究所的微生物学系完成。结果:在116名早产妇女中,尿路感染的发生率为27.58%。大肠杆菌是尿液中分离的最常见微生物(15.51%)。 33.62%的女性中有阴道感染。念珠菌是HVS培养物中最常见的微生物。结论:妊娠期泌尿生殖系统感染的筛查是必要的,特别是在高危病例中。泌尿生殖系统感染的早期发现和及时治疗降低了早产的发生率,从而降低了早产相关的新生儿发病率和死亡率。

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