z-logo
Premium
Chlamydia screening in pregnancy in A ustralia: Integration of national guidelines into clinical practice and policy
Author(s) -
Li Zhuoyang,
Chen Marcus,
Guy Rebecca,
Wand Handan,
Oats Jeremy,
Sullivan Elizabeth A.
Publication year - 2013
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12099
Subject(s) - medicine , guideline , family medicine , chlamydia , chlamydia trachomatis , public health , odds ratio , private practice , gynecology , obstetrics , nursing , pathology , immunology
Background Chlamydia trachomatis is the most common reportable infection in A ustralia. Since 2006, the R oyal A ustralian and N ew Z ealand C ollege of O bstetricians and G ynaecologists ( RANZCOG ) have recommended chlamydia screening in pregnant women aged <25 years. Aims To assess clinical uptake and policy integration of the 2006 RANZCOG recommendation on chlamydia testing in pregnant women aged <25 years. Methods A mixed method approach was used involving a literature review, a survey of obstetricians and gynaecologists, and survey of hospital managers from A pril 2010 to M ay 2010. Results Of the 1644 participating RANZCOG Fellows, Trainees, and Diplomates, 21.2% reported universal screening for pregnant women <25 years (25% of primary care clinicians, 23% of those working in the public hospital sector, 16% of those working in both public and private hospitals, and 13% of those in private hospitals or private practice). There was a strong association between members who agreed with the guideline and offering universal screening to pregnant women aged <25 years (adjusted odds ratio = 17.1, 95% CI : 6.0–49.2, P  < 0.01). Of the 143 participating hospital managers who completed the hospital policy questionnaire; 20% reported that their hospital had a formal screening guideline. There were two national and four state/local policy documents recommending chlamydia screening in pregnancy. Conclusions This study shows low uptake of chlamydia screening of young pregnant women by RANZCOG Fellows, Trainees, and Diplomates involved in antenatal care and highlights the need for national clinical leadership regarding screening for chlamydia among pregnant women aged <25 years.

This content is not available in your region!

Continue researching here.

Having issues? You can contact us here