Screening for Chlamydia trachomatis , Neisseria gonorrhoeae , and Mycoplasma genitalium should it be integrated into routine pregnancy care in French young pregnant women?

Abstract Chlamydia trachomatis , Neisseria gonorrhoeae , and Mycoplasma genitalium screening during pregnancy is not performed routinely in France. We conducted the first prospective study in 1004 women attending for routine antenatal care to determine the prevalence and risk factors for these bacte...

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Bibliographic Details
Published in:Diagnostic microbiology and infectious disease 2015-05, Vol.82 (1), p.14-19
Main Authors: Peuchant, O, Le Roy, C, Desveaux, C, Paris, A, Asselineau, J, Maldonado, C, Chêne, G, Horovitz, J, Dallay, D, de Barbeyrac, B, Bébéar, C
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Chlamydia Infections - diagnosis
Chlamydia Infections - epidemiology
Chlamydia trachomatis
Chlamydia trachomatis - isolation & purification
Diagnostic Tests, Routine - methods
Female
France - epidemiology
Gonorrhea - diagnosis
Gonorrhea - epidemiology
Humans
Infectious Disease
Internal Medicine
Life Sciences
Mycoplasma genitalium
Mycoplasma genitalium - isolation & purification
Mycoplasma Infections - diagnosis
Mycoplasma Infections - epidemiology
Neisseria gonorrhoeae
Neisseria gonorrhoeae - isolation & purification
Pregnancy
Pregnancy Complications, Infectious - diagnosis
Prenatal Diagnosis - methods
Prevalence
Prospective Studies
Risk factors
Young Adult
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Summary:Abstract Chlamydia trachomatis , Neisseria gonorrhoeae , and Mycoplasma genitalium screening during pregnancy is not performed routinely in France. We conducted the first prospective study in 1004 women attending for routine antenatal care to determine the prevalence and risk factors for these bacterial infections. The overall prevalence of C. trachomatis , N. gonorrhoeae , and M. genitalium infections was 2.5%, 0%, and 0.8%, respectively. In patients aged 18–24 years, the prevalence increased to 7.9% for C. trachomatis and to 2.4% for M. genitalium. C. trachomatis infection was associated with age ≤24 years or being single or having more than 5 sexual partners in a lifetime. M. genitalium infection was more frequent in patients aged ≤24 years or who had a history of abortion or their first sexual intercourse after 20 years of age. The high prevalence of C. trachomatis in pregnant women aged ≤24 years, mostly asymptomatic, suggests that systematic screening could be beneficial.
ISSN:0732-8893
1879-0070
DOI:10.1016/j.diagmicrobio.2015.01.014