RT Journal Article
SR Electronic
T1 P210 The prevalence of chlamydia in pregnant women compared with non-pregnant women in a busy sexual health clinic in the UK: Making the case for systematic chlamydia screening in pregnancy?
JF Sexually Transmitted Infections
JO Sex Transm Infect
FD BMJ Publishing Group Ltd
SP A89
OP A90
DO 10.1136/sextrans-2016-052718.258
VO 92
IS Suppl 1
A1 Junghans, Cornelia
A1 Warren, Katherine
A1 Coley, Dale
A1 Draeger, Eleanor
YR 2016
UL http://sti.bmj.com/content/92/Suppl_1/A89.3.abstract
AB Background Chlamydia trachomatis (CT) is the commonest STI in the UK with high prevalence in pregnancy. CT testing is not routinely recommended for pregnant women in the UK despite adverse effects on pregnancy, neonate and mother. Countries with recommended CT screening in pregnancy have good results despite suboptimal uptake. Aim(s) To determine the prevalence of CT and treatment uptake in pregnant and non-pregnant women who have attended a large, busy urban integrated sexual health service.Methods Retrospective observational cohort study of all patient encounters with women of child bearing age (15 to 49) between 2012 and 2015 who were tested for CT. Women with a positive pregnancy and STI testing 2 weeks prior and 9 months post STI test were included (n = 837). Women with terminations were excluded. Socio-demographic factors and clinical factors were compared to 20,629 women who had a CT test but no pregnancy.View this table:Abstract P210 Table 1 Prevalence of chlamydia in pregnant womenResultsPregnant women were on average younger (25 vs 28) and had higher CT prevalence across all age groups (12 vs 5%), peaking between 15 and 25 years (21 vs 10%). Being pregnant doubled the odds of having CT after controlling for age (adjusted OR 1.96; CI 1.64–2.30).Discussion The national opportunistic screening programme is deemed to cover CT detection in an age group where both STIs and pregnancy rates are high. However, the results of our study support additional targeted CT screening during pregnancy, particularly in the youngest age group.