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Infectious Diseases in Obstetrics and Gynecology
Volume 3 (1995), Issue 5, Pages 184-188
Cervicitis as a Clinical Indicator of Gonococcal and Chlamydial Infections in Pregnancy
1Department of Obstetrics and Gynecology, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA, USA
2Department of Obstetrics and Gynecology, Desk A81, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland 44195, OH, USA
Received 25 October 1995
Copyright © 1995 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective: We undertook the present study to attempt to apply clinical indicators predictive of cervical infection in nongravid populations with either Neisseria gonorrhoeae or Chlamydia trachomatis to 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 with N. gonorrhoeae or C. trachomatis in 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 with C. trachomatis and N. gonorrhoeae were unreliable.