title: Efficacy of follow-up and contact tracing of women who test positive for genital tract chlamydia trachomatis prior to pregnancy termination.
abstract: We examined the efficacy of follow-up, contact tracing and the need for retreatment in women who were screen-positive for genital tract Chlamydia trachomatis prior to termination of pregnancy. Eighty-six of 1363 (6.3%) women screened positive. These women were significantly younger than those who screened negative (P < 0.0001). The genitourinary medicine (GUM) clinic was notified of 73 (84.9%) screen-positive women and 41 (47.7%) attended for follow-up. Contact tracing was undertaken in 38 (92.7%) women who attended and 29 (70.7%) women who attended required retreatment for Chlamydia. The median duration between pregnancy termination and GUM clinic attendance was significantly longer in women who required retreatment compared to those who did not require retreatment (P = 0.003). In conclusion, follow-up and contact-tracing of women who screen positive for genital tract C. trachomatis was incomplete. This may substantially compromise the cost-effectiveness of a screen-and-treat programme.
authors.affiliation: Nuffield Department of Obstetrics and Gynaecology, John Radcliffe Hospital, Headington, Oxford, UK. paul.ayuk@obs-gyn.ox.ac.uk
authors.forename: P T
authors.initials: PT
authors.lastname: Ayuk
authors.forename: S
authors.initials: S
authors.lastname: Dudley
authors.forename: H
authors.initials: H
authors.lastname: McShane
authors.forename: M
authors.initials: M
authors.lastname: Rees
authors.forename: I Z
authors.initials: IZ
authors.lastname: Mackenzie
mesh_terms: D000028:Abortion, Induced; D000328:Adult; D002690:Chlamydia Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000635:transmission*; D002692:Chlamydia trachomatis / Q000302:isolation & purification*; D016358:Contact Tracing; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000191:economics; D011247:Pregnancy