| Autor: |
Miller, Joseph M., Maupin, Robert T., Nsuami, Malanda |
| Předmět: |
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| Zdroj: |
Journal of Maternal-Fetal & Neonatal Medicine; Oct2005, Vol. 18 Issue 4, p231-235, 5p |
| Abstrakt: |
Objective . This study was done to evaluate the prevalence of chlamydia in late pregnancy after an initial negative test. Methods . This retrospective cohort study reports prenatal patients entering care between January 1998 and May 2000 at an inner city community based clinic ( n = 752). Patients were evaluated if results of initial and late tests (34 weeks gestational age) for chlamydia were known. Charts were abstracted for demographic and pregnancy-related factors. Analysis for categorized data was by chi-squares and odds ratios. Continuous data were analyzed by t -test. Significance was accepted if p < 0.05. Results . The prevalence of chlamydia was 17.8%, with 3.9% having only the second test positive. Treatment failure and/or reinfection were found in 13.3%. Factors correlated with chlamydial carriage include: age ⩽19 years ( p < 0.001), gonorrheal carriage ( p < 0.001), lower gravidity ( p < 0.01), lower parity ( p < 0.05), and never having married ( p < 0.001). Logistic regression identified gonorrheal carriage and age ⩽19 years as important for both initial and late chlamydial cervicitis. Marital status was important for initial tests only. Conclusions . In our high-risk population, repeat testing for chlamydia in late pregnancy was found appropriate. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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