Initial and repeated screening for gonorrhea during pregnancy.
OBJECTIVE
Late pregnancy rescreening is advised for at-risk patients, but data supporting this recommendation are lacking. The intent of this study was to determine the value of a late-pregnancy test for gonorrhea after a negative initial test at the beginning of prenatal care.


METHODS
A retrospective chart review of clinic records over a 29-month period identified patients with a positive DNA direct assay for gonorrhea either initially or at 34 weeks.


RESULTS
Of 751 women, 38 (5.1%) had gonorrhea diagnosed at their first testing; 19 women (2.5%) were positive only at their second screening. For one patient, both tests were positive.


CONCLUSIONS
Repeating screening for gonorrhea at 34 weeks in a high-prevalence population is warranted.
Miller
Joseph M
JM
Department of Obstetrics and Gynecology, Louisiana State University Health Sciences Center, New Orleans, Louisiana 70112, USA. jmille@lsuhsc.edu
Maupin
Robert T
RT
Mestad
Renee E
RE
Nsuami
Malanda
M
D000328:Adult; D005260:Female; D006069:Gonorrhea / Q000175:diagnosis* / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008145:Louisiana / Q000453:epidemiology; D008403:Mass Screening / Q000592:standards* / Q000706:statistics & numerical data; D008499:Medical Records; D008507:Medically Underserved Area; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D011263:Pregnancy Trimester, Third; D011295:Prenatal Care / Q000592:standards*; D015995:Prevalence; D012189:Retrospective Studies