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Provedor de dados:  BJID
País:  Brazil
Título:  Perinatal morbidity and mortality associated with chlamydial infection: a meta-analysis study
Autores:  Silva,Maria José Penna Maisonnette de Attayde
Florêncio,Gilzandra Lira Dantas
Gabiatti,José Roberto Erbolato
Amaral,Rose Luce do
Eleutério Júnior,José
Gonçalves,Ana Katherine da Silveira
Data:  2011-12-01
Ano:  2011
Palavras-chave:  Chlamydia trachomatis
Perinatal mortality
Morbidity
Meta-analysis
Resumo:  OBJECTIVE: To evaluate the effect of Chlamydia trachomatis infection during pregnancy on perinatal morbidity and mortality. METHODS: Systematic review and meta-analysis in an electronic database and manual, combining high sensitivity specific descriptors seeking to answer the research objective. The articles considered to be of high methodological quality (score above 6 on the Newcastle-Ottawa Scale) were assessed by meta-analysis. RESULTS: Summary estimates of 12 studies were calculated by means of Mantel-Haenszel test with 95% confidence interval. It was observed that Chlamydia infection during pregnancy increased risk of preterm labor (relative risk (RR) = 1.35 [1.11, 1.63]), low birth weight (RR = 1.52 [1.24, 1.87]) and perinatal mortality (RR = 1.84 [1.15, 2.94]). No evidence of increased risk was associated with Chlamydia infection in regard to premature rupture of membranes (RR = 1.13 [0.95, 1.34]), abortion and postpartum endometritis (RR = 1.20 [0.65, 2.20] and 0.89 [0.49, 1.61] respectively). CONCLUSION: The diagnosis and treatment of Chlamydia cervicitis during pregnancy can reduce perinatal morbidity and mortality associated with this infection. However, clinical trials are needed to confirm these findings.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702011000600006
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702011000600006
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.15 n.6 2011
Direitos:  info:eu-repo/semantics/openAccess
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