Interest of simultaneous Chlamydia trachomatis and Neisseria gonorrhoeae screening at the time of preabortion consultation

Contraception
Anne-Lise ToyerPhilippe Lanotte

Abstract

This study was conducted to estimate the prevalence and risk factors of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infection among women consulting for abortion and to discuss screening for these pathogens in this population. Systematic CT/NG screening using real-time polymerase chain reaction was performed on cervical samples from 421 women who consulted for abortion over a 6-month period. Among the 421 women included, 13 had symptoms of gynecological infection, and 408 were asymptomatic. Only one of the symptomatic women was infected with CT (7.7%), and none of the women were infected with NG. Among the asymptomatic women, 40 were CT infected (9.8%), and three were NG infected. The overall prevalence was 9.7% for CT infection and 0.7% for NG infection. This population had a high prevalence of CT infection and a low prevalence of NG infection. Most infections were asymptomatic, which could justify systematic simultaneous screening for these two pathogens.

References

Nov 1, 1990·The Australian & New Zealand Journal of Obstetrics & Gynaecology·P WeinS M Garland
Oct 24, 1998·Infectious Diseases in Obstetrics and Gynecology·J A SimõesA Faúndes
Jul 11, 2006·The Journal of Family Planning and Reproductive Health Care·Vincent LeeElizabeth Foley
Jul 20, 2007·Annals of Internal Medicine·S Deblina DattaHillard Weinstock
Feb 18, 2009·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·C Bébéar, B de Barbeyrac
Mar 15, 2011·Contraception·Sharon L AchillesSociety of Family Planning

Related Concepts

Abortion Failure
Cervix Uteri
Chlamydia Infections
Chlamydia trachomatis
Gonorrhea
Neisseria gonorrhoeae
Pregnancy Complications, Infectious
Preoperative Procedure
Kinetic Polymerase Chain Reaction
Consultation

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