Current status of Neisseria gonorrhoeae cervicitis in pregnant women in Japan.

We evaluated the current prevalence of gonococcal cervicitis among pregnant women in institutes that either do or do not routinely screen for gonococcal infection in Japan. We requested 2,330 obstetrical facilities to provide information on Neisseria gonorrhoeae cervicitis in pregnant women. A total...

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Main Authors: Shunji Suzuki, Shin-Ichi Hoshi, Akihiko Sekizawa, Yoko Sagara, Masanobu Tanaka, Katsuyuki Kinoshita, Tadaichi Kitamura
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0211595
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author Shunji Suzuki
Shin-Ichi Hoshi
Akihiko Sekizawa
Yoko Sagara
Masanobu Tanaka
Katsuyuki Kinoshita
Tadaichi Kitamura
author_facet Shunji Suzuki
Shin-Ichi Hoshi
Akihiko Sekizawa
Yoko Sagara
Masanobu Tanaka
Katsuyuki Kinoshita
Tadaichi Kitamura
author_sort Shunji Suzuki
collection DOAJ
description We evaluated the current prevalence of gonococcal cervicitis among pregnant women in institutes that either do or do not routinely screen for gonococcal infection in Japan. We requested 2,330 obstetrical facilities to provide information on Neisseria gonorrhoeae cervicitis in pregnant women. A total of 1,876 (80.5%) of them responded. The universal screening test for gonococcal cervicitis, involving nucleic acid amplification for all pregnant women, was performed in 281 institutes (13.9% of institutes across Japan). The total rate of pregnant women with gonococcal cervicitis was 1.3% in the institutes performing the screening test during pregnancy, while it was only 0.2% (p < 0.01) in those not performing it. This suggests that 84% of infected women may have been missed in the institutes that do not routinely perform the screening test for gonococcal cervicitis. It may be time to examine the cost-effectiveness of providing gonococcal screening for all pregnant women in Japan.
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spelling doaj.art-bd6bb7de537f4e2bb20d949d92e2dcf62022-12-21T21:55:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01142e021159510.1371/journal.pone.0211595Current status of Neisseria gonorrhoeae cervicitis in pregnant women in Japan.Shunji SuzukiShin-Ichi HoshiAkihiko SekizawaYoko SagaraMasanobu TanakaKatsuyuki KinoshitaTadaichi KitamuraWe evaluated the current prevalence of gonococcal cervicitis among pregnant women in institutes that either do or do not routinely screen for gonococcal infection in Japan. We requested 2,330 obstetrical facilities to provide information on Neisseria gonorrhoeae cervicitis in pregnant women. A total of 1,876 (80.5%) of them responded. The universal screening test for gonococcal cervicitis, involving nucleic acid amplification for all pregnant women, was performed in 281 institutes (13.9% of institutes across Japan). The total rate of pregnant women with gonococcal cervicitis was 1.3% in the institutes performing the screening test during pregnancy, while it was only 0.2% (p < 0.01) in those not performing it. This suggests that 84% of infected women may have been missed in the institutes that do not routinely perform the screening test for gonococcal cervicitis. It may be time to examine the cost-effectiveness of providing gonococcal screening for all pregnant women in Japan.https://doi.org/10.1371/journal.pone.0211595
spellingShingle Shunji Suzuki
Shin-Ichi Hoshi
Akihiko Sekizawa
Yoko Sagara
Masanobu Tanaka
Katsuyuki Kinoshita
Tadaichi Kitamura
Current status of Neisseria gonorrhoeae cervicitis in pregnant women in Japan.
PLoS ONE
title Current status of Neisseria gonorrhoeae cervicitis in pregnant women in Japan.
title_full Current status of Neisseria gonorrhoeae cervicitis in pregnant women in Japan.
title_fullStr Current status of Neisseria gonorrhoeae cervicitis in pregnant women in Japan.
title_full_unstemmed Current status of Neisseria gonorrhoeae cervicitis in pregnant women in Japan.
title_short Current status of Neisseria gonorrhoeae cervicitis in pregnant women in Japan.
title_sort current status of neisseria gonorrhoeae cervicitis in pregnant women in japan
url https://doi.org/10.1371/journal.pone.0211595
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