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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Interactions among Urogenital, Intestinal, Skin, and Oral Infections in Pregnant and Lactating Panamanian Ngabe Women: A Neglected Public Health Challenge
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Interactions among Urogenital, Intestinal, Skin, and Oral Infections in Pregnant and Lactating Panamanian Ngabe Women: A Neglected Public Health Challenge

机译：孕妇和哺乳期的巴拿马雅贝族妇女泌尿生殖系统，肠道，皮肤和口腔感染之间的相互作用：被忽视的公共卫生挑战

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摘要

Interrelationships among bacteria, protozoa, helminths, and ectoparasites were explored in a cross-sectional survey of 213 pregnant and 99 lactating indigenous women. Prevalences in pregnancy and lactation, respectively, were: vaginitis (89.2%; 46.8%), vaginal trichomoniasis (75.3%; 91.1%), bacterial vaginosis (BV; 60.6%; 63.3%), hookworm (56.6%; 47.8%), asymptomatic bacteriuria/urinary tract infection (AB/UTI; 56.2%; 36.2%), cervicitis (33.3%; 6.3%), vaginal yeast (24.9%; 11.4%), Ascaris (32.5%; 17.4%), vaginal diplococci (20.4%; 31.6%), caries (19.7%; 18.2%), scabies (17.4%; 8.1%), and Trichuris (12.5%; 8.7%). Multiple regressions revealed positive associations during pregnancy (trichomoniasis and AB/UTI; diplococci and Ascaris) and lactation (yeast and scabies). Negative associations were detected in pregnancy (BV and trichomoniasis; hookworm and diplococci) and lactation (BV and yeast) Vaginal Lactobacillus reduced odds of diplococci in pregnancy and lactation, but increased Ascaris eggs per gram (epg) and odds of trichomoniasis in pregnancy and yeast in lactation. These associations raised a concern that treatment of one condition may increase the risk of another.
机译：在对213名孕妇和99名哺乳土著妇女的横断面调查中，研究了细菌，原生动物，蠕虫和体外寄生虫之间的相互关系。怀孕和哺乳期的患病率分别为：阴道炎（89.2％; 46.8％），阴道滴虫（75.3％; 91.1％），细菌性阴道病（BV; 60.6％; 63.3％），钩虫（56.6％; 47.8％），无症状菌尿/尿路感染（AB / UTI; 56.2％; 36.2％），宫颈炎（33.3％; 6.3％），阴道酵母菌（24.9％; 11.4％），A虫病（32.5％; 17.4％），阴道双球菌（20.4） ％; 31.6％），龋齿（19.7％; 18.2％），sc疮（17.4％; 8.1％）和Trichuris（12.5％; 8.7％）。多元回归显示，在妊娠（滴虫和AB / UTI;双球菌和A虫）和泌乳（酵母和ab疮）期间存在正相关。在怀孕（BV和滴虫病;钩虫和双球菌）和泌乳（BV和酵母菌）中检测到负相关性。阴道乳酸菌降低了怀孕和哺乳期双球菌的几率，但每克A虫卵（epg）增加，怀孕和酵母菌中滴虫的几率在哺乳期。这些协会担心一种疾病的治疗可能会增加另一种疾病的风险。

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