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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Shigellosis and Pregnancy in French Guiana: Obstetric and Neonatal Complications
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Shigellosis and Pregnancy in French Guiana: Obstetric and Neonatal Complications

机译:法国圭亚那的令人毛骨菌和怀孕:产科和新生儿并发症

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Shigella is a major cause of dysentery worldwide. Only a few cases of shigellosis during pregnancy have been reported. However, the neonatal and obstetric complications are potentially severe. The objective of this study was to describe the obstetric and neonatal complications of shigellosis during pregnancy. We carried out a retrospective study of 37 cases of shigellosis diagnosed in pregnant women at the maternity unit of Saint-Laurent du Maroni Hospital in west French Guiana between 2000 and 2014. Shigellosis diagnosis was based on the detection of Shigella in stool cultures from pregnant women (34 patients) or in a neonatal sample collected immediately after delivery (three neonates). In addition to the classic symptoms of shigellosis an association of diarrhea, fever, and abdominal pain we observed uterine contractions before the completion of 37 weeks of gestation in 61% of patients (N = 17/28). Cervical changes were associated with uterine contractions in 82% of cases (N = 14/17); 25% of the patients at risk of preterm birth went on to give birth prematurely (N = 3/12). Three cases of mother-to-child transmission were observed. Episodes of shigellosis in pregnant women may trigger uterine contractions and changes to the cervix, potentially resulting in miscarriage or preterm birth.
机译:志贺氏菌是全球痢疾的主要病因。只有少数妊娠期志贺氏菌病病例被报道。然而,新生儿和产科并发症可能很严重。本研究的目的是描述妊娠期志贺氏菌病的产科和新生儿并发症。我们对2000年至2014年间在西法属圭亚那圣罗兰杜马罗尼医院产科诊断的37例孕妇志贺氏菌病进行了回顾性研究。志贺氏菌病的诊断基于孕妇粪便培养物(34名患者)或分娩后立即采集的新生儿样本(三名新生儿)中志贺氏菌的检测。除了痢疾的典型症状(腹泻、发热和腹痛)外,61%的患者(N=17/28)在妊娠37周前观察到子宫收缩。82%的病例宫颈病变与子宫收缩有关(N=14/17);有早产风险的患者中有25%继续早产(N=3/12)。观察到三例母婴传播。孕妇的志贺菌病发作可能会引发子宫收缩和宫颈改变,可能导致流产或早产。

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