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妊娠期弓形虫病

Toxoplasmosis in pregnancy.

作者信息

Kravetz Jeffrey D, Federman Daniel G

机构信息

Yale University School of Medicine, New Haven, Connecticut, USA.

出版信息

Am J Med. 2005 Mar;118(3):212-6. doi: 10.1016/j.amjmed.2004.08.023.

Abstract

Pregnant women who acquire infection from Toxoplasma gondii usually remain asymptomatic, although they can still transmit the infection to their fetuses with severe consequences. Given the asymptomatic nature of most Toxoplasma infections, primary prevention in pregnant women may lower the risk of congenital toxoplasmosis. Both consumption of undercooked meat and unprotected contact with soil are independent risk factors for T. gondii seroconversion during pregnancy, while contact with cat litter may pose a risk in certain situations. However, many pregnant women lack knowledge of these risk factors. This article reviews toxoplasmosis infection in pregnancy, with an emphasis on risk factors and appropriate counseling of pregnant women.

摘要

感染弓形虫的孕妇通常没有症状,尽管她们仍可将感染传播给胎儿,从而产生严重后果。鉴于大多数弓形虫感染没有症状,对孕妇进行一级预防可能会降低先天性弓形虫病的风险。食用未煮熟的肉类和无防护地接触土壤都是孕期弓形虫血清学转换的独立危险因素,而在某些情况下接触猫砂也可能有风险。然而,许多孕妇并不了解这些危险因素。本文综述了孕期弓形虫感染情况,重点关注危险因素以及对孕妇的适当咨询。

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