Offering routine trichomonas vaginalis testing to patients presenting for abortion at an urban hospital-based clinic
- PMID: 33539801
- PMCID: PMC10191633
- DOI: 10.1016/j.contraception.2021.01.011
Offering routine trichomonas vaginalis testing to patients presenting for abortion at an urban hospital-based clinic
Abstract
Introduction: The Centers for Disease Control and Prevention recommend considering screening asymptomatic women for trichomonas in high-prevalence settings. Whether urban abortion clinics constitute such a setting is unknown.
Material and methods: We offered trichomonas screening to patients presenting for abortion from October 2018 to February 2019 as a practice improvement and conducted a chart review.
Results: Ninety-two percent (593/644) of patients underwent testing. Trichomonas prevalence was 10.0% (95% CI 7.7-12.6). Ninety five percent of patients diagnosed were treated. Testing only symptomatic patients would have missed 98% of infections.
Conclusions: Trichomonas was highly prevalent, and universal testing and treatment was feasible in an urban abortion clinic.
Keywords: Abortion; Health disparities; Health equity; Sexually transmitted infection; Trichomonas vaginalis.
Copyright © 2021 Elsevier Inc. All rights reserved.
Conflict of interest statement
Conflict of interest: The authors have no conflicts of interest to disclose.
References
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    - Trichomoniasis 2015 STD treatment guidelines 2019. https://www.cdc.gov/std/tg2015/trichomoniasis.htm (accessed June 5, 2020).
 
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    - STI-National-Strategic-Plan-2021–2025.pdf n.d. https://www.hhs.gov/sites/default/files/STI-National-Strategic-Plan-2021... (accessed January 14, 2021).
 
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