Chlamydial and gonococcal testing during pregnancy in the United States - 20/06/12
Reprints: Harvey W. Kaufman, MD, Quest Diagnostics, 3 Giralda Farms, Madison, NJ 07940Résumé |
Objective |
The objective of the study was to estimate the rates of testing, prevalence, and follow-up testing for chlamydial and gonococcal infection in a nationally based population that is comparable with the US pregnant population in terms of age and race.
Study Design |
We extracted laboratory results for 1,293,423 pregnant women tested over a 3-year period.
Results |
During pregnancy, 59% (761,315 of 1,293,423) and 57% (730,796 of 1,293,423) of women were tested at least once for Chlamydia trachomatis or for Neisseria gonorrhoeae, respectively. Of those women tested, 3.5% (26,437 of 761,315) and 0.6% (4605 of 730,796) tested positive for chlamydial and gonococcal infection, respectively, at least once during pregnancy. Of those women who were initially positive for the given infection, 78% (16,039 of 20,489) and 76% (2610 of 3435) were retested, of whom 6.0% (969 of 16,039) and 3.8% (100 of 2610) were positive on their last prenatal test for C trachomatis and N gonorrhoeae, respectively.
Conclusion |
Many pregnant women are not tested for C trachomatis and N gonorrhoeae despite recommendations to test. Follow-up testing to monitor the effectiveness of treatment is also not always performed.
Le texte complet de cet article est disponible en PDF.Key words : Chlamydia trachomatis, Neisseria gonorrhoeae, testing during pregnancy and postpartum
Plan
| This study was supported by Quest Diagnostics. |
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| A.J.B., J.M.L., and H.W.K. are employees of Quest Diagnostics. J.M.L. and H.W.K. have an equity interest in Quest Diagnostics. The other author reports no conflict of interest. |
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| Cite this article as: Blatt AJ, Lieberman JM, Hoover DR, et al. Chlamydial and gonococcal testing during pregnancy in the United States. Am J Obstet Gynecol 2012;207:55.e1-8. |
Vol 207 - N° 1
P. 55.e1-55.e8 - juillet 2012 Retour au numéro
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