妊娠与感染 孕产妇常见感染性疾病及其对胎儿的影响： 口孕产妇最常见的感染为尿路感染(UT1,包括肾盂肾炎)；性传播感染(STs)；和 上呼吸道感染(URTI) Infection more Infection more Risk of Risk of miscarriage Risk of congenital/ Prevention of Maternal Prevention of likely in pregnancy severe in pregnancy premature labor or stillbirth neonatal infection maternal infection treatment transmission Chlamydia No No No No Yes(ophthalmia Safe sex Azithromycin Maternal azithromycin neonatorum,pneumonia) Gonorrhea No No No No Yes(ophthalmia Safe sex Ceftriaxone and Maternal ceftriaxone neonatorum,pneumonia) azithromycin and azithromycin Listeriosis Yes No No 20.2% Yes(granulomatosis Avoid unpasteurized Ampicillin (or TMP-SMX. Maternal ampicillin infantisepticum,meningitis)dairy and cold meats vancomycin) (or alternative) PID No Probably Uncertain Yes No Safe sex Aggressive antibiotics,eg. NA ofloxacin and metronidazole ±ceftriaxone Syphilis No No No Yes Yes(congenital syphilis) Safe sex Parenteral penicillin Maternal penicillin TB Probably Probably No Yes Yes,rare Public health intervention,Standard therapy.avoid Maternal treatment prevention/treatment streptomycin' of HIV un No Yes,risk of No No TreatASB Empiric,or per culture NA Pyelonephritis results Adler H,Lambert J S.Clinical Focus:Infections in Pregnancy[J].Hospital Practice,2014,42(2):108-124u 孕产妇常见感染性疾病及其对胎儿的影响： Adler H, Lambert J S. Clinical Focus: Infections in Pregnancy[J]. Hospital Practice, 2014, 42(2):108-124. 孕产妇最常见的感染为尿路感染（UTI，包括肾盂肾炎）；性传播感染（STIs）；和 上呼吸道感染（URTI）。 妊娠与感染