Impact of gestational urogenital tract infections on pregnancy outcomes
OBJECTIVE To explore the impact of gestational urogenital tract infections on pregnancy outcomes.METHOD A total of 360 women in late pregnancy who were treated in Taizhou First People's Hospital between Jan.2017 and Dec.2022 were selected to analyze their urogenital tract infections and the results of drug sensitivity test,which were divided into 113 cases in the infection group and 247 cases in the non-infection group according to presence or absence of urogenital tract infection,and pregnancy outcomes in the two groups were compared.RESULTS Out of 360 pregnant women,a total of 113 cases experienced urinary and reproductive tract infections during pregnancy,accounting for 31.39％.There were 85 cases of single infection and 28 cases of mixed infection,with the highest incidence of mycoplasma infection(19.17％),followed by bacterial infection(8.89％)and chlamydia infection(7.22％).The drug sensitivity rates were as follows:Mycoplasma was more sensitive to mi-nocycline(98.55％),doxycycline(95.65％),and clarithromycin(91.30％).Chlamydia was more sensitive to e-rythromycin(92.31％),clarithromycin(92.31％),doxycycline(96.16％),and clarithromycin(92.31％).Escherichia coli was sensitive to meropenem,imipenem,and teicoplanin(100.00％),while Staphylococcus epi-dermidis was sensitive to teicoplanin and acetazolamide(100.00％).The incidence rates of premature birth,pre-mature rupture of membranes,chorioamnionitis,and neonatal infection in the infection group were 18.58％,20.35％,11.50％,and 11.50％,respectively,which were higher than those in the non-infection group(P＜0.05);The incidence rates of postpartum infection,fetal distress,and neonatal asphyxia in the infection group were 5.31％,7.08％,and 6.19％,respectively,with no statistically significant difference between the two groups.CONCLUSION Among the women in late pregnancy,urogenital tract infections were dominated by Myco-plasma infections,which were more sensitive to minocycline,doxycycline and clarithromycin,and infection will result an increased risk of premature delivery,premature rupture of membranes,chorioamnionitis and neonatal in-fection.
万方数据
维普
