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Initial and repeated screening for gonorrhea during pregnancy
Joseph M Miller1, Robert T Maupin, Renee E Mestad
1Department of Obstetrics and Gynecology, Louisiana State University Health Sciences Center, New Orleans, Louisiana 70112, USA. jmille@lsuhsc.edu
Background And Goal:
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.
Study Design:
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.
Conclusion:
Repeating screening for gonorrhea at 34 weeks in a high-prevalence population is warranted.