Chlamydial and gonococcal testing during pregnancy in the United States
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 resu...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2012-07, Vol.207 (1), p.55.e1-55.e8 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Blatt, Amy J., PhD Lieberman, Jay M., MD Hoover, Donald R., PhD Kaufman, Harvey W., MD |
| description | 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. |
| doi_str_mv | 10.1016/j.ajog.2012.04.027 |
| format | Article |
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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.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2012.04.027</identifier><identifier>PMID: 22621817</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Bacterial diseases ; Bacterial diseases of the genital system ; Biological and medical sciences ; Chlamydia Infections - diagnosis ; Chlamydia Infections - epidemiology ; Chlamydia trachomatis ; Chlamydia trachomatis - isolation & purification ; Epidemiology. Vaccinations ; Female ; General aspects ; Gonorrhea - diagnosis ; Gonorrhea - epidemiology ; Guideline Adherence - statistics & numerical data ; Gynecology. Andrology. Obstetrics ; Human bacterial diseases ; Humans ; Infectious diseases ; Logistic Models ; Medical sciences ; Multivariate Analysis ; Neisseria gonorrhoeae ; Obstetrics and Gynecology ; Practice Guidelines as Topic ; Pregnancy ; Pregnancy Complications, Infectious - diagnosis ; Pregnancy Complications, Infectious - epidemiology ; Prenatal Care - standards ; Prenatal Care - statistics & numerical data ; Prevalence ; Retrospective Studies ; testing during pregnancy and postpartum ; United States - epidemiology ; Young Adult</subject><ispartof>American journal of obstetrics and gynecology, 2012-07, Vol.207 (1), p.55.e1-55.e8</ispartof><rights>Mosby, Inc.</rights><rights>2012 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-38fb3d609829f4dbe301b51ae849f6092668220d310dd3f0a693b9b92b9eba2a3</citedby><cites>FETCH-LOGICAL-c441t-38fb3d609829f4dbe301b51ae849f6092668220d310dd3f0a693b9b92b9eba2a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002937812004243$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26137303$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22621817$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blatt, Amy J., PhD</creatorcontrib><creatorcontrib>Lieberman, Jay M., MD</creatorcontrib><creatorcontrib>Hoover, Donald R., PhD</creatorcontrib><creatorcontrib>Kaufman, Harvey W., MD</creatorcontrib><title>Chlamydial and gonococcal testing during pregnancy in the United States</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the genital system</subject><subject>Biological and medical sciences</subject><subject>Chlamydia Infections - diagnosis</subject><subject>Chlamydia Infections - epidemiology</subject><subject>Chlamydia trachomatis</subject><subject>Chlamydia trachomatis - isolation & purification</subject><subject>Epidemiology. Vaccinations</subject><subject>Female</subject><subject>General aspects</subject><subject>Gonorrhea - diagnosis</subject><subject>Gonorrhea - epidemiology</subject><subject>Guideline Adherence - statistics & numerical data</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Logistic Models</subject><subject>Medical sciences</subject><subject>Multivariate Analysis</subject><subject>Neisseria gonorrhoeae</subject><subject>Obstetrics and Gynecology</subject><subject>Practice Guidelines as Topic</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - diagnosis</subject><subject>Pregnancy Complications, Infectious - epidemiology</subject><subject>Prenatal Care - standards</subject><subject>Prenatal Care - statistics & numerical data</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>testing during pregnancy and postpartum</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUGL1DAUx4Mo7rj6BTxIL4KX1uSlmyYgggy6Cgse1j2HNHmdTe0kY9IK8-1NmVkXPHgKL_z-Ly-_R8hrRhtGmXg_NmaMuwYog4a2DYXuCdkwqrpaSCGfkg2lFGrFO3lBXuQ8riUoeE4uAAQwyboNud7eT2Z_dN5MlQmu2sUQbbS2lDPm2Ydd5Za0HoeEu2CCPVY-VPM9VnfBz-iq29kU8iV5Npgp46vzeUnuvnz-sf1a33y__rb9dFPbtmVzzeXQcyeokqCG1vXIKeuvmEHZqqFcgxASgDrOqHN8oEYo3qteQa-wN2D4JXl36ntI8ddSJtR7ny1OkwkYl6xZ-SJcKS5VQeGE2hRzTjjoQ_J7k44F0qtAPepVoF4FatrqIrCE3pz7L_0e3d_Ig7ECvD0DJhdLQypKfH7kBOMdp7xwH04cFhu_PSadrcdg0fmEdtYu-v_P8fGfuJ188OXFn3jEPMYlheJZM51LRt-uu103zYDSFlrO_wC8c6JG</recordid><startdate>20120701</startdate><enddate>20120701</enddate><creator>Blatt, Amy J., PhD</creator><creator>Lieberman, Jay M., MD</creator><creator>Hoover, Donald R., PhD</creator><creator>Kaufman, Harvey W., MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120701</creationdate><title>Chlamydial and gonococcal testing during pregnancy in the United States</title><author>Blatt, Amy J., PhD ; Lieberman, Jay M., MD ; Hoover, Donald R., PhD ; Kaufman, Harvey W., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-38fb3d609829f4dbe301b51ae849f6092668220d310dd3f0a693b9b92b9eba2a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the genital system</topic><topic>Biological and medical sciences</topic><topic>Chlamydia Infections - diagnosis</topic><topic>Chlamydia Infections - epidemiology</topic><topic>Chlamydia trachomatis</topic><topic>Chlamydia trachomatis - isolation & purification</topic><topic>Epidemiology. Vaccinations</topic><topic>Female</topic><topic>General aspects</topic><topic>Gonorrhea - diagnosis</topic><topic>Gonorrhea - epidemiology</topic><topic>Guideline Adherence - statistics & numerical data</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Logistic Models</topic><topic>Medical sciences</topic><topic>Multivariate Analysis</topic><topic>Neisseria gonorrhoeae</topic><topic>Obstetrics and Gynecology</topic><topic>Practice Guidelines as Topic</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - diagnosis</topic><topic>Pregnancy Complications, Infectious - epidemiology</topic><topic>Prenatal Care - standards</topic><topic>Prenatal Care - statistics & numerical data</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>testing during pregnancy and postpartum</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blatt, Amy J., PhD</creatorcontrib><creatorcontrib>Lieberman, Jay M., MD</creatorcontrib><creatorcontrib>Hoover, Donald R., PhD</creatorcontrib><creatorcontrib>Kaufman, Harvey W., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blatt, Amy J., PhD</au><au>Lieberman, Jay M., MD</au><au>Hoover, Donald R., PhD</au><au>Kaufman, Harvey W., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chlamydial and gonococcal testing during pregnancy in the United States</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2012-07-01</date><risdate>2012</risdate><volume>207</volume><issue>1</issue><spage>55.e1</spage><epage>55.e8</epage><pages>55.e1-55.e8</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>22621817</pmid><doi>10.1016/j.ajog.2012.04.027</doi><tpages>2</tpages></addata></record> |
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| subjects | Adolescent Adult Bacterial diseases Bacterial diseases of the genital system Biological and medical sciences Chlamydia Infections - diagnosis Chlamydia Infections - epidemiology Chlamydia trachomatis Chlamydia trachomatis - isolation & purification Epidemiology. Vaccinations Female General aspects Gonorrhea - diagnosis Gonorrhea - epidemiology Guideline Adherence - statistics & numerical data Gynecology. Andrology. Obstetrics Human bacterial diseases Humans Infectious diseases Logistic Models Medical sciences Multivariate Analysis Neisseria gonorrhoeae Obstetrics and Gynecology Practice Guidelines as Topic Pregnancy Pregnancy Complications, Infectious - diagnosis Pregnancy Complications, Infectious - epidemiology Prenatal Care - standards Prenatal Care - statistics & numerical data Prevalence Retrospective Studies testing during pregnancy and postpartum United States - epidemiology Young Adult |
| title | Chlamydial and gonococcal testing during pregnancy in the United States |
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