Navigation Links
Few pregnant women treated for sexually transmitted infections
Date:2/8/2013

EAST LANSING, Mich. --- Many pregnant women with sexually transmitted infections aren't getting the treatment they need when they visit emergency rooms, according to a new Michigan State University study that highlights a wholly preventable risk to unborn children and raises questions about current medical guidelines.

About half of the 735 women with gonorrhea or chlamydia who visited the ERs at three hospitals in Grand Rapids, Mich. from 2008 through 2010 did not get treatment there, despite the availability of effective and relatively inexpensive antibiotics. Of the 179 who were pregnant, only 20 percent received treatment in the ER.

The problem is that it takes a few days to get lab results for those infections and many women don't return for medication, said Roman Krivochenitser, a third-year student in MSU's College of Human Medicine and lead author of the paper, published in the American Journal of Emergency Medicine. Ideally, doctors would be able to confirm a diagnosis and treat the patient while she's still in the ER, but such tests aren't yet available.

"A lot of patients leave a phone number that's disconnected, or they just don't pick up the phone," Krivochenitser said. "The doctors are doing everything right. It's just that we don't yet have the technology for on-the-spot testing."

Diagnosing sexually transmitted infections in pregnant women is especially challenging, he added, because the symptoms of infection overlap with the signs of pregnancy.

"You could do a very thorough workup to find out what's causing abdominal pain in a pregnant woman," said Krivochenitser. "But if you're pregnant, there's a certain amount of abdominal discomfort we expect."

Left untreated, the infections raise the risk of preterm delivery and low birth weight, and can be passed on to the baby. The infections also can cause serious complications in the mother, such as pelvic inflammatory disease, raising the risk of infertility and dangerous ectopic pregnancy.

Such complications are rare, Krivochenitser said, but they're also avoidable.

"This is something we as health professionals can easily prevent with antibiotics," he said.

Krivochenitser said it may be time to re-evaluate guidelines from the Centers for Disease Control and Prevention for treating sexually transmitted infections in emergency rooms, where many patients go when they don't have insurance or a family physician. The CDC has safeguards in place to prevent doctors from overprescribing antibiotics, which can breed drug-resistant organisms.

"Still, if we're looking at the risks and benefits, there's a more immediate risk of a pregnant patient having gonorrhea or chlamydia because it can have serious effects on the baby," Krivochenitser said. "When someone visits their family physician, there may be more time to weigh those risks, but things in the emergency department move twice as fast. We have to make very quick decisions."


'/>"/>

Contact: Andy McGlashen
andy.mcglashen@cabs.msu.edu
517-355-5158
Michigan State University
Source:Eurekalert

Related biology news :

1. Overweight pregnant women not getting proper weight-gain advice
2. Considerable prevalence of both malaria, STIs exist among pregnant women in sub-Saharan Africa
3. Vitamin D for pregnant women and babies -- how much is enough?
4. 2 servings of salmon a week is healthy for pregnant women and their babies
5. Geneviève Almouzni to receive the 2013 FEBS
6. EMBO Women in Science Award
7. Abuse during childhood linked to uterine fibroids in African-American women
8. Women must do more to reap same positive health outcomes as men, MU research suggests
9. Vaginal delivery is the safest option for women with pelvic girdle pain
10. Scientists pinpoint molecular signals that make some women prone to miscarriage
11. Virtual women reveal more skin, regardless of body proportions
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/16/2017)... 16, 2017  Genos, a community for personal ... has received Laboratory Accreditation from the College of ... to laboratories that meet stringent requirements around quality, ... processes. "Genos is committed to maintaining ... We,re honored to be receiving CAP accreditation," said ...
(Date:2/13/2017)... , Feb. 13, 2017  RSA Conference -- ... platform that is designed to enhance fraud detection ... release in the RSA Fraud & Risk Intelligence ... organizations to leverage additional insights from internal and ... to better protect their customers from targeted cybercrime ...
(Date:2/10/2017)... DUBLIN , Feb 10, 2017 ... PharmaBiotech,s new report "Personalized Medicine - Scientific and Commercial ... ... in personalized medicine. Diagnosis is integrated with therapy for selection ... emphasis on early detection and prevention of disease in modern ...
Breaking Biology News(10 mins):
(Date:2/22/2017)... ... 22, 2017 , ... Pharma and biotech consulting firm ... Operating from Pennside’s Zurich headquarters, Pennside Partners, GmbH, Mr. Perkins brings 14 years ... than a decade with leading market research firm, GfK. He began his pharma ...
(Date:2/22/2017)... Md. and RESEARCH TRIANGLE PARK, N.C., Feb. 22, 2017 ... ) today announced its financial results for the ... "Our annual 2016 financial results reflect continued ... earnings exceeded $700 million," said Martine Rothblatt, Ph.D., ... financial results strengthen our ability to develop and ...
(Date:2/21/2017)... , Feb. 21, 2017 /PRNewswire/ - SQI Diagnostics Inc. ("SQI" ... and operational results for the three months ended December 31, ... -based life sciences and diagnostics company that develops and ... ... continue to build on the commercial milestones achieved in fiscal ...
(Date:2/21/2017)... ... February 21, 2017 , ... Vortex Biosciences announced ... automated benchtop system for collecting intact circulating tumor cells (CTCs) that are shed ... Medicine Tri Conference (Tri-Con) Annual Meeting 2017 (February 19–24 San Francisco). , The ...
Breaking Biology Technology: