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Download het volledig rapport (302 p.) - KCE

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<strong>KCE</strong> reports vol. 6A Prenatale zorg 91<br />

Study Ref Population Intervention Outcomes Results Comments Stud<br />

y<br />

Gram staining (Spiegel´s<br />

criteria):<br />

LR + = 1.3 (95% CI 1.0 to<br />

1.6)<br />

LR - = 0.9 (95% CI 0.7 to<br />

1.0)<br />

Conclusion: Lack of difference in<br />

the accuracy of the various tests<br />

for predicting preterm birth in<br />

both asymptomatic and<br />

symptomatic women treatened<br />

preterm labour<br />

What are the antibiotic regimens of BV infection in pregnancy and how do they compare in terms of effectiveness and does screening for and<br />

treating pregnant women found to have BV infection lead to improved maternal and perinatal outcomes?<br />

Study Ref Population Intervention Outcomes Results Comments Study<br />

type<br />

EL<br />

McDonald et 4 [362] 10 RCTs, 4249 pregnant women Antibiotic regimen ( at 24 weeks) ÂTest-of-cureÊ Failure of test-of-cure (8<br />

SR 1a<br />

al., 2003<br />

screened (or treated) for BV at 10 vs. placebo or no treatment<br />

RCTs, n = 2835): Peto OR<br />

to 26 weeks of gestation<br />

Preterm<br />

delivery<br />

0.21, 95% CI 0.18 to 0.24<br />

Preterm delivery, < 37<br />

PPROM weeks (8 RCTs, n = 4062):<br />

Peto OR 0.95, 95% CI 0.82<br />

to 1.10<br />

Preterm delivery, < 34<br />

weeks (5 RCTs, n = 851):<br />

Peto OR 1.20, 95% CI 0.69<br />

to 2.07<br />

type<br />

EL

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