THE ASSOCIATION OF CHLAMYDIA-TRACHOMATIS, NEISSERIA-GONORRHOEAE, AND GROUP-B STREPTOCOCCI WITH PRETERM RUPTURE OF THE MEMBRANES AND PREGNANCY OUTCOME
THE ASSOCIATION OF CHLAMYDIA-TRACHOMATIS, NEISSERIA-GONORRHOEAE, AND GROUP-B STREPTOCOCCI WITH PRETERM RUPTURE OF THE MEMBRANES AND PREGNANCY OUTCOME
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DOI：
10.1016/s0002-9378(88)80093-0
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发表时间：
1988-08-01
影响因子：
9.8
通讯作者：
CRENSHAW, MC
中科院分区：
文献类型：
--
作者：
ALGER, LS;LOVCHIK, JC;CRENSHAW, MC
关于沙眼衣原体在早产胎膜早破发生中可能的因果作用，存在相互矛盾的证据。我们调查了宫颈内感染的相对流行率与C。沙眼衣原体和B族链球菌在早产胎膜早破患者与对照组从相同的产科人口相比。C.在52例早产胎膜早破患者中有23例（44%）分离出沙眼，而对照组中有13例（15%）分离出沙眼（P < 0.001）。这种关联与B组链球菌或淋病奈瑟菌感染无关。未足月胎膜早破患者中分离出B群链球菌的比例为16%，对照组为4%（p < 0.05）。与B组链球菌感染相关的早产胎膜早破的风险与C组链球菌感染无关。trachomatis和N.淋病宫颈感染C.沙眼对分娩后早期母体并发症的发生率没有显著影响。
There is conflicting evidence regarding a possible causal role for Chlamydia trachomatis in the development of preterm premature rupture of the membranes. We investigated the relative prevalence of endocervical infection with C. trachomatis and group B streptococci in patients with preterm premature rupture of membranes compared with a control group taken from the same obstetric population. C. trachomatis was isolated from 23/52 (44%) patients with preterm premature rupture of membranes versus 13/84 (15%) women in the control group (p < 0.001). This association was independent of infection with group B streptococci or Neisseria gonorrhoeae. Group B streptococci were isolated from 16% of the patients with preterm premature rupture of membranes versus 4% of the control population (p < 0.05). The risk of preterm premature rupture of membranes associated with group B streptococcal infection was independent of infection with C. trachomatis and N. gonorrhoeae. Endocervical infection with C. trachomatis did not significantly affect early maternal complication rates after delivery.