臨床婦人科産科77巻7号

2023年07月発行

今月の臨床 細菌叢から読み解く女性と子どものヘルスケア

周産期

腟内細菌叢と早産のトピック―細菌性腟症・Mycoplasma感染・Ureaplasma感染などへの抗菌薬またはラクトフェリンなどによる対応

著者： 大槻克文¹

所属機関： ¹昭和大学江東豊洲病院周産期センター

ページ範囲：P.697 - P.703

文献概要

●腟内の常在菌ならびに病因菌は多岐にわたっており，早産発症までの病態を複雑にしている．

●細菌性腟症に対する抗菌薬使用以外の効果的な治療法として，プレバイオティクスやプロバイオティクスの使用が注目されている．

●早産のハイリスク因子として，MycoplasmaやUreaplasma感染，あるいはこれらと細菌性腟症との混合感染が早産リスクを上昇させている．

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