Perinatal morbidity and mortality associated with chlamydial infection: a meta-analysis study
Braz. j. infect. dis
;
15(6): 533-539, Nov.-Dec. 2011. tab
Article
Dans Anglais
| LILACS
| ID: lil-610523
ABSTRACT
OBJECTIVE:
To evaluate the effect of Chlamydia trachomatis infection during pregnancy on perinatal morbidity and mortality.METHODS:
Systematic review and meta-analysis in an electronic database and manual, combining high sensitivity specific descriptors seeking to answer the research objective. The articles considered to be of high methodological quality (score above 6 on the Newcastle-Ottawa Scale) were assessed by meta-analysis.RESULTS:
Summary estimates of 12 studies were calculated by means of Mantel-Haenszel test with 95 percent confidence interval. It was observed that Chlamydia infection during pregnancy increased risk of preterm labor (relative risk (RR) = 1.35 [1.11, 1.63]), low birth weight (RR = 1.52 [1.24, 1.87]) and perinatal mortality (RR = 1.84 [1.15, 2.94]). No evidence of increased risk was associated with Chlamydia infection in regard to premature rupture of membranes (RR = 1.13 [0.95, 1.34]), abortion and postpartum endometritis (RR = 1.20 [0.65, 2.20] and 0.89 [0.49, 1.61] respectively).CONCLUSION:
The diagnosis and treatment of Chlamydia cervicitis during pregnancy can reduce perinatal morbidity and mortality associated with this infection. However, clinical trials are needed to confirm these findings.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Complications infectieuses de la grossesse
/
Infections à Chlamydia
/
Cervicite
/
Mortalité périnatale
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
/
Guide de pratique
/
Facteurs de risque
/
Revues systématiques évaluées
Limites du sujet:
Femelle
/
Humains
/
Nouveau-né
/
Grossesse
langue:
Anglais
Texte intégral:
Braz. j. infect. dis
Thème du journal:
Maladies transmissibles
Année:
2011
Type:
Article
/
descriptif de projet
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
UFRN/BR
/
Universidade Estadual de Campinas/BR
/
Universidade Federal do Ceará/BR
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