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首页> 外文期刊>Cureus. >Bacterial Colonization of Vagina in Indian Women During Labor and Its Association With Puerperal and Neonatal Sepsis: A Tertiary Hospital Study
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Bacterial Colonization of Vagina in Indian Women During Labor and Its Association With Puerperal and Neonatal Sepsis: A Tertiary Hospital Study

机译：劳动妇女阴道中阴道的细菌殖民及其与新生儿脓毒症的关系：第三大学医院研究

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Objective The aim was to find the prevalence of colonization of vagina with aerobic bacteria among low-risk Indian women in active labor and its association with early-onset neonatal sepsis (EONS) and puerperal sepsis. Methods The study was conducted prospectively from October 2018 to March 2020 in a tertiary hospital in New Delhi, India. Low-risk pregnant women (N=920) in active labor with intact membranes were recruited. High vaginal swabs were collected, cultured by standard methods to detect aerobic bacteria. The primary outcomes were the development of puerperal sepsis and EONS. Results In a total of 920 low-risk subjects, vaginal colonization was found in 484 (52.6%), coagulase-negative Staphylococcus being the predominant colonizer (13.2%) followed by Escherichia?coli (8.9%). Multigravida women were at 1.4 times higher risk of colonization than primigravida (odds ratio [OR] 1.399; 95% CI 1.064, 1.84). Women whose sample was collected at the first vaginal examination were at 0.34 times lower risk of colonization as compared to women with more than one vaginal examination (OR 0.34; 95% CI 0.241, 0.481). The incidence of colonization increased with progressive vaginal examinations (p0.001). None of the colonized women and their neonates developed puerperal sepsis or EONS, respectively. Conclusion Vaginal colonization of aerobic bacteria in active labor is not associated with an increased risk of puerperal sepsis or EONS.
机译：目标目的是在活跃的劳动中低风险印度妇女的低风险印度妇女中患有有氧细菌的阴道殖民和与早期发病新生儿脓毒症（EONS）和普洱败血症的关联的患病率。方法预期从2018年10月到2020年3月20日在印度新德里的一家高等医院进行的。招募了低风险的孕妇（n = 920），招募了完整膜的活跃劳动力。收集高阴道拭子，通过标准方法培养以检测有氧细菌。主要结果是葛根和埃恩斯的发展。结果总共920个低风险受试者，在484（52.6％）中发现了阴道殖民，凝固酶阴性葡萄球菌是主要的殖民机（13.2％），然后是大肠杆菌（8.9％）。多人子女妇女的定位风险高1.比血脂差异（赔率比[或] 1.399; 95％CI 1.064,1.84）。与具有多于一个阴道检查的女性（或0.34; 95％CI 0.241,0.481）相比，在第一次阴道检查中收集的样品的样本收集的妇女的含量较低的0.34倍。殖民化的发生率随着渐进的阴道检查（P <0.001）增加。没有一个殖民化的女性和他们的新生儿分别发育出败血症或eons。结论活跃劳动中有氧细菌的阴道殖民与产褥期败血症或eons的风险增加无关。

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