caa a22 4500 445306637 CHVBK 20180317142615.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00404-010-1537-7 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1537-7 Screening for Chlamydia trachomatis in pregnancy: a retrospective analysis in a German urban area [Elektronische Daten] [Tobias Weissenbacher, Markus Kupka, Franz Kainer, Klaus Friese, Ioannis Mylonas] Objective: Chlamydia trachomatis infection is the most common bacterial sexual transmitted disease. Nearly 75% of all cases appear clinically unapparent and can cause, especially when getting chronically, infertility. Regarding pregnancy, a nationwide screening for C. trachomatis was established since April 1995. The aim of this study was to determine the percentage of tested patients throughout these 7years to evaluate the execution of the German guidelines. Materials and methods: Between 2001 and 2007, 12,865 patients were evaluated retrospectively concerning a Chlamydia trachomatis testing. Results: A test was performed for chlamydial infection in 10,088 patients (78.4%). 65 pregnant patients (0.5%) out of 1,008 tested patients were positive for Chlamydia trachomatis. The part of tested patients was rising significantly from 2001 to 2007. In 2001, 68.3% pregnant patients were tested. The number of screened patients increased continuously up to 85.2% in 2007 (p<0.001). The percentage of positive tested patients ranged from 0.27% in 2003 to 0.74% in 2005 (mean 0.50%). Conclusion: Since 1995, a screening for Chlamydia trachomatis has to be offered to every pregnant woman according to the German guidelines. The number of tested pregnant patients was rising from 68.3 to 85.2% within the evaluated 7years, which would be a necessary and welcome trend. Interestingly, the mean prevalence of 0.5% of positive tested patients in this analysed urban population seems to be very low. An explanation might be the usage of the point-of-care (POC) tests and its low sensitivity. Testing by nucleic acid amplification might lead to a higher detection rate. Although the awareness concerning Chlamydia trachomatis testing during pregnancy seems to have been changed over the recent years, these data are still dissatisfactory. Springer-Verlag, 2010 Chlamydia trachomatis nationallicence Screening nationallicence Pregnancy nationallicence Guidelines nationallicence Germany nationallicence Weissenbacher Tobias First Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University, Maistrasse 11, 80337, Munich, Germany aut Kupka Markus First Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University, Maistrasse 11, 80337, Munich, Germany aut Kainer Franz First Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University, Maistrasse 11, 80337, Munich, Germany aut Friese Klaus First Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University, Maistrasse 11, 80337, Munich, Germany aut Mylonas Ioannis First Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University, Maistrasse 11, 80337, Munich, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 283/6(2011-06-01), 1343-1347 0932-0067 283:6<1343 2011 283 404 https://doi.org/10.1007/s00404-010-1537-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1537-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Weissenbacher Tobias First Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University, Maistrasse 11, 80337, Munich, Germany aut NATIONALLICENCE 700 1- Kupka Markus First Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University, Maistrasse 11, 80337, Munich, Germany aut NATIONALLICENCE 700 1- Kainer Franz First Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University, Maistrasse 11, 80337, Munich, Germany aut NATIONALLICENCE 700 1- Friese Klaus First Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University, Maistrasse 11, 80337, Munich, Germany aut NATIONALLICENCE 700 1- Mylonas Ioannis First Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University, Maistrasse 11, 80337, Munich, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/6(2011-06-01), 1343-1347 0932-0067 283:6<1343 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer