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Offering universal trichomonas vaginalis testing to patients presenting for abortion at an urban hospital-based clinic.

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INTRODUCTION The Centers for Disease Control and Prevention (CDC) recommend considering screening asymptomatic women for trichomonas in high-prevalence settings. Whether urban abortion clinics constitute such a setting is unknown. MATERIAL… Click to show full abstract

INTRODUCTION The Centers for Disease Control and Prevention (CDC) 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 - 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 99% of infections. CONCLUSIONS Trichomonas was highly prevalent, and universal testing and treatment was feasible in an urban abortion clinic.

Keywords: abortion; patients presenting; offering universal; presenting abortion; trichomonas vaginalis; universal trichomonas

Journal Title: Contraception
Year Published: 2021

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