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Screening of Chlamydia trachomatis in Pregnant Patients in the Emergency Department: A Pilot Study

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Abstract

The overall rate of Chlamydia trachomatis in pregnant women in the United States was found to be 1843 per 100,000 births from 2016 to 2018 and had a 2% increase from 2016 to 2018. Untreated Chlamydia infection of the cervix in pregnant women can be transmitted vertically and lead to preventable adverse birth outcomes including preterm delivery, low birth weight, neonatal conjunctivitis, and neonatal pneumonia. Current recommendations from the CDC include screening of all pregnant women <25 years of age and older pregnant women at increased risk for infection at the first prenatal visit, in addition to rescreening in the third trimester if <25 years of age or if the patient is at continued high risk. The emergency  department (ED) is a point of contact for prenatal care, especially for many patients whohave not yet seen a provider or may be unable to; however, no formal guidelines from the American College of Emergency Physicians (ACEP) exist as to when to screen for chlamydia in the ED setting.

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