Tuberculosis in association with HIV/AIDS emerges as a major nonobstetric cause of maternal mortality in Sub-Saharan Africa

被引:48
作者
Grange, John [1 ]
Adhikari, Miriam [2 ]
Ahmed, Yusuf [3 ]
Mwaba, Peter [4 ]
Dheda, Keertan [1 ,5 ]
Hoelscher, Michael [6 ]
Zumla, Alimuddin [1 ,4 ]
机构
[1] UCL, Sch Med, Dept Infect, Ctr Infect Dis & Int Hlth, London W1N 8AA, England
[2] Univ KwaZulu Natal, Dept Pediat & Child Hlth, Durban, South Africa
[3] Univ Teaching Hosp, Dept Obstet & Gynecol, Lusaka, Zambia
[4] Univ Teaching Hosp, UNZA UCLMS Res & Training Project, Lusaka, Zambia
[5] Univ Cape Town, Dept Med, Lung Inst, ZA-7925 Cape Town, South Africa
[6] Klinikum Univ Munich LMU, Dept Trop Med & Infect Dis, Munich, Germany
关键词
HIV/AIDS; Malaria; Maternal mortality; Pregnancy; Prevention; Sepsis; Tuberculosis; SOUTH-AFRICA; PREVALENCE; PREGNANCY; ZAMBIA; WOMEN;
D O I
10.1016/j.ijgo.2009.12.005
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Every year, approximately 250000 African women die dining pregnancy, delivery. or the puerperium Maternal mortality rates due to infectious diseases in Sub-Saharan Africa now supersede mortality from obstetric causes Evidence is accumulating that tuberculosis associated with HIV/AIDS, malaria, sepsis, and other opportunistic infections are the main infectious causes of maternal deaths screening for these killer infections within prenatal healthcare programs is essential at INS stage to prevent and treat Causes of maternal Mortality The combination of proven effective Interventions that aveit the greatest number Of maternal deaths Should be prioritized and expanded to cover the greatest number of women at risk, and incorporated into a "prophylaxis and treatment community package of care" The effectiveness of these "packages of care" will need to be determined subsequently Maternal deaths from tuberculosis are now on the increase in the UK, and due diligence and Watchful Surveillance are required in European prenatal services (C) 2009 Published by Elsevier Ireland Lid oil behalf of filter national Federation of Gynecology and Obstetrics
引用
收藏
页码:181 / 183
页数:3
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