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Patterns of screening, infection, and treatment of Chlamydia trachomatis and Neisseria gonorrhea in pregnancy

Obstetrics and Gynecology Apr 01, 2020

Goggins ER, Chamberlain AT, et al. - Researchers aimed to delineate factors linked with not being screened for Chlamydia trachomatis and Neisseria gonorrhea infection during pregnancy and for testing positive. In addition, they sought to inscribe the patterns of treatment and tests of reinfection. In this retrospective cohort study, they identified 3,265 eligible deliveries at an urban teaching hospital from July 1, 2016 to June 30, 2018. Among these deliveries, screening was reported in 3,177 (97%) women during pregnancy. Positive tests were reported in 370 (12%) (287 chlamydia, 35 gonorrhea, 48 both), and repeat infections in 15%. Risk factors for not being screened were prenatal care adequacy and insurance status. Positive test outcomes were observed to be correlated with age, race and ethnicity, alcohol use, and sexually transmitted infection history. They commonly observed delays in treatment and tests of reinfection. Lack of clinician recognition and follow-up of abnormal results (65%) and difficulty contacting the patient (33%) were the common reasons for delays.

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