دوره 16، شماره 12 - ( 9-1397 )                   جلد 16 شماره 12 صفحات 744-731 | برگشت به فهرست نسخه ها


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YektaKooshali M H, Hamidi M, Taghi Razavi Tousi S M, Nikokar I. Prevalence of group B streptococcus colonization in Iranian pregnant women: A systematic review and meta-analysis. IJRM 2018; 16 (12) :731-744
URL: http://ijrm.ir/article-1-1329-fa.html
یکتای‌کوشالی، محمدحسین، حمیدی مسعود، تقی رضوی‌طوسی سیدمحمد، نیکوکار ایرج. شیوع کلونیزاسیون استرپتوکوکوس گروه B در زنان باردار ایرانی: مرور سیستماتیک و متاآنالیز. International Journal of Reproductive BioMedicine. 1397; 16 (12) :731-744

URL: http://ijrm.ir/article-1-1329-fa.html


1- کمیته تحقیقات دانشجویی، دانشکده پرستاری-مامایی و پیراپزشکی، دانشگاه علوم پزشکی گیلان، رشت، ایران
2- مرکز تحقیقات زیست فناوری پزشکی، دانشگاه علوم پزشکی گیلان، رشت، ایران ، m.hamidi2008@gmail.com
3- مرکز تحقیقات زیست فناوری پزشکی، دانشگاه علوم پزشکی گیلان، رشت، ایران
چکیده:   (3183 مشاهده)
مقدمه: استرپتوکوکوس گروه B به عنوان یکی از مهمترین پاتوژن­ها در نوزادان و زنان باردار مطرح است.
هدف: هدف از این مطالعه برآورد شیوع کلونیزاسیون استرپتوکوکوس گروه B در زنان باردار ایرانی بود.
موارد و روش­ ها: مطالعات مرتبط با جستجو در شش پایگاه داده و بررسی ارجاعات و رفرنس‌های مقالات مورد نظر شناسایی شدند. عنوان، خلاصه و متن کامل مقالات توسط دو مرورگر به طور مستقل مورد بازبینی قرار گرفت. جهت یکپارچه‌سازی داده‌ها از متاآنالیز با اثر تصادفی استفاده شد.
نتایج: بر اساس 30 مقاله انتخاب از از مجموع 667، نتایج متاآنالیز شیوع کلونیزاسیون استرپتوکوکوس گروه B در 10090 زن باردار ایرانی برابر                 (17/45-56 /95:10%CI:) 13/65% محاسبه شد. براساس تقسیم­ بندی منطقه جغرافیای ایران، غرب با (45/06-52/ 95:11%CI:) 24/63% و شرق با        (11/8-43 /95:6%CI:) 75%/8  به ترتیب بیشترین و کمترین محل شیوع برآورد شد که رابطه معنی ­داری مشاهده شد (0/001p=). همچنین بر اساس محل  نمونه ­گیری با سوآپ، شیوع کلونیزاسیون استرپتوکوکوس گروه B در زنان بادار ایرانی از ناحیه واژن با 11/96 درصد، واژن و رکتوم با 13/62 درصد و مقعد و واژن با 25/63 درصد از کم به زیاد برآورد شد که رابطه معنی­داری مشاهده شد (0/001p=).
نتیجه­ گیری: با توجه به شیوع بالای کلونیزاسیون GBS در زنان باردار ایران، تشخیص و غربالگری زودهنگام زنان در هفته­ های 35-37 حاملگی باید به­طور جدی­تر بر اساس بیانیه CDC توسط وزارت بهداشت، درمان و آموزش پزشکی انجام شود.
نوع مطالعه: Review article |

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