Cervicitis as a Clinical Indicator of Gonococcal and Chlamydial Infections in Pregnancy

[摘要] Objective:We undertook the present study to attempt to apply clinical indicators predictive of cervical infection in nongravid populations with eitherNeisseria gonorrhoeaeorChlamydia trachomatisto our pregnant population and to determine the significance of the clinical diagnosis of “cervicitis.”Methods:A retrospective chart review of all pregnant women with a final diagnosis of cervicitis who were seen in the Medical College of Virginia obstetrical emergency room was performed during the period of September 1991 to December 1992.Results:Given the diagnosis of cervicitis in our emergency department, we found that the clinical examination predicted cervical infection withN. gonorrhoeaeorC. trachomatisin only 20% of the pregnant women. Gravidas with chlamydial infections were younger (20.1 ± 3.7 years) compared with gravidas not infected (23.2 ± 5.4 years) (P < 0.0001). They were also more likely to have a diagnosis of lower urinary-tract infection [relative risk (RR) 2.89, 95% confidence interval (CI) 1.42–5.85].Conclusions:The clinical indicators of cervical infection withC. trachomatisandN. gonorrhoeaewere unreliable.

[学科分类] 妇产科学