Urinary Tract Infection and Bacteriuria in Pregnancy
Urinary Tract Infection and Bacteriuria in Pregnancy
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DOI：
10.1016/j.ucl.2015.05.004
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发表时间：
2015-11-01
影响因子：
2.4
通讯作者：
Schaeffer, Anthony J.
中科院分区：
文献类型：
--
作者：
Glaser, Alexander P.;Schaeffer, Anthony J.
妊娠期菌尿可分为无症状菌尿、下尿路感染（膀胱炎）或上尿路感染（肾盂肾炎）。下尿路菌尿与妊娠期发生肾盂肾炎的风险增加相关，而肾盂肾炎本身与不良的母体和胎儿结局相关。孕妇应在怀孕早期筛查是否存在菌尿。妊娠期所有菌尿都应治疗，妊娠期抗菌药物的选择应反映对母亲和胎儿的安全性。在治疗菌尿后，由于存在复发菌尿的风险，应密切随访患者。
Bacteriuria during pregnancy may be classified as asymptomatic bacteriuria, infections of the lower urinary tract (cystitis), or infections of the upper urinary tract (pyelonephritis). Lower tract bacteriuria is associated with an increased risk of developing pyelonephritis in pregnancy, which is itself associated with adverse maternal and fetal outcomes. Pregnant women should be screened for the presence of bacteriuria early in pregnancy. All bacteriuria in pregnancy should be treated, and antimicrobial choice in pregnancy should reflect safety for both the mother and the fetus. After treatment of bacteriuria, patients should be followed closely due to risk of recurrent bacteriuria.