臨床婦人科産科78巻1号

2024年01月発行

合併増大号　今月の臨床 産婦人科医のための感染症最新レクチャー

各論 : 母子感染・周産期感染

感染症と早産

著者： 永松健¹

所属機関： ¹国際医療福祉大学医学部産科・婦人科学

ページ範囲：P.106 - P.111

文献概要

●感染性早産では，腟内細菌叢からの上行性感染が主要な感染経路となっている．

●妊娠中の細菌性腟症や歯周病は，早産のリスク上昇に関連する因子であるが，抗菌薬を用いたそれらの治療や予防的投与による早産防止効果は否定的である．

●Ureaplasma，Mycoplasmaは早産例の羊水中に多く検出されるが，それらの菌種の早産原因としての病原性については知見が確立していない．

●感染性早産における児の予後改善につながる，予防・治療アプローチの開発が求められている．

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