Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae genital infections in a publicly funded pregnancy termination clinic: empiric vs. indicated treatment?

Ashlesha Patel*, Shahida Rashid, Emily M. Godfrey, Hemang Panchal

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Background: This study was conducted to assess the prevalence of lower genital tract infections with Chlamydia trachomatis (CT) and Neisseria gonorrhoeae among women seeking first-trimester pregnancy termination in a same-day abortion clinic in a public hospital. Study Design: We reviewed CT and N. gonorrhoeae test results of 1974 women who underwent a first-trimester abortion for a period of 6 months between January 1, 2006, and June 30, 2006, at a large public hospital. Results: During our study period, 225 (11.4%) women tested positive for chlamydia infection and 51 (2.6%) women tested positive for gonorrhea using probe technology. Twenty-two (1.2%) women tested positive for both. Conclusion: We found a comparatively high prevalence rate of chlamydia-positive patients (11.4%) in our publicly funded pregnancy termination clinic. Because of infrequent follow-up in this patient population, we suggest screening and providing the epidemiologic treatment for CT genital infection for all women undergoing a same-day abortion procedure. It may prove cost-effective. Our prevalence rate of gonorrhea was lower (2.6%). The value of providing epidemiologic treatment for gonorrhea to all patients undergoing a same-day abortion procedure should be reexamined in controlled trials.

Original languageEnglish (US)
Pages (from-to)328-331
Number of pages4
JournalContraception
Volume78
Issue number4
DOIs
StatePublished - Oct 1 2008

Keywords

  • Abortion
  • Chlamydia
  • Gonorrhea
  • Prevalence
  • Sexually transmitted infection

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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