Trichomonas infection in pregnant women: a nationwide cohort study

被引:1
作者
Li, Ruei-Ting [1 ]
Lin, Hsin-Chung [2 ,3 ]
Chung, Chi Hsiang [4 ,5 ]
Lin, Hsin-An [6 ]
Wang, Jui-Yang [7 ]
Chen, Lih-Chyang [8 ]
Huang, Kuo-Yang [9 ]
Sun, Chien-An [10 ,11 ]
Chien, Wu-Chien [4 ,5 ,12 ,13 ]
Chen, Chien-Chou [14 ]
机构
[1] Triserv Gen Hosp, Natl Def Med Ctr, Dept Pediat Surg, 325 Sect 2,Cheng Kung Rd, Taipei 11490, Taiwan
[2] Triserv Gen Hosp, Natl Def Med Ctr, Dept Pathol, Div Clin Pathol, 325 Sect 2,Cheng Kung Rd, Taipei 11490, Taiwan
[3] Sch Med, Natl Def Med Ctr, Dept Pathol, 161 Sec 6,Minquan E Rd, Taipei 11490, Taiwan
[4] Sch Publ Hlth, Natl Def Med Ctr, 161 Sec 6,Minquan E Rd, Taipei 11490, Taiwan
[5] Taiwanese Injury Prevent & Safety Promot Assoc, Rm 4112,161 Sec 6,Minquan E Rd, Taipei, Taiwan
[6] Triserv Gen Hosp, Natl Def Med Ctr, Dept Med, Div Infect,SongShan Branch, 131 Jiankang Rd, Taipei 10581, Taiwan
[7] Triserv Gen Hosp, Natl Def Med Ctr, Dept Family Med, SongShan Branch, 131 Jiankang Rd, Taipei 10581, Taiwan
[8] Mackay Med Coll, Dept Med, 46 Sec 3,Zhongzheng Rd, New Taipei 252, Taiwan
[9] Natl Def Med Ctr, Grad Inst Pathol & Parasitol, 161 Sec 6,Minquan E Rd, Taipei 11490, Taiwan
[10] Fu Jen Catholic Univ, Coll Med, Dept Publ Hlth, 510 Zhongzheng Rd, New Taipei 242062, Taiwan
[11] Fu Jen Catholic Univ, Coll Med, Big Data Res Ctr, 510 Zhongzheng Rd, New Taipei 242062, Taiwan
[12] Triserv Gen Hosp, Natl Def Med Ctr, Dept Med Res, 325 Sect 2,Cheng Kung Rd, Taipei 11490, Taiwan
[13] Natl Def Med Ctr, Grad Inst Life Sci, 161 Sec 6,1Minquan E Rd, Taipei 11490, Taiwan
[14] Triserv Gen Hosp, Natl Def Med Ctr, Dept Med, Div Nephrol,SongShan Branch, 131 Jiankang Rd, Taipei 10581, Taiwan
关键词
Age; Level of care; Pregnancy; Trichomoniasis; VAGINALIS INFECTION; TRACT INFECTIONS; UNITED-STATES; PREVALENCE; HEALTH; CARE;
D O I
10.1007/s00436-022-07498-4
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
Trichomoniasis is the most prevalent sexually transmitted infection worldwide, and is associated with adverse pregnancy outcomes. However, Trichomonas vaginalis (TV) has received little public health attention, and only limited data are available on prevalence of TV and other Trichomonas-associated syndromes in pregnant women. This study aimed to determine associations between pregnancy and incident trichomoniasis-related diseases. Data of pregnant women were extracted from the National Health Insurance Research Database (NHIRD) of Taiwan. The pregnant cohort included 113,781 women, and cases were randomly matched by age, and index year with those of non-pregnant women (n=113,781). Risk of incident trichomoniasis-related diseases was also not significantly different between pregnant and non-pregnant women. However, after stratifying by age or level of care, the younger subgroup among pregnant women had a higher risk of incident trichomoniasis-related diseases than did the younger subgroup in non-pregnant women, while the elder subgroup among pregnant women had a lower risk of incident trichomoniasis-related diseases than did the same subgroup in non-pregnant women (all p < 0.05). The higher level of care (medical center) subgroup among pregnant women had a lower risk of incident trichomoniasis-related diseases than did the same subgroup in non-pregnant women. In conclusions, although pregnancy is not significantly associated with risk of trichomoniasis-related diseases, data of the present study support an enhanced high level of medical care for pregnant women, emphasizing the potential of high medical care in reduced incidence of trichomoniasis-related diseases. This may be an effective strategy for reducing various pregnancy complications associated with trichomoniasis-related diseases.
引用
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页码:1973 / 1981
页数:9
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