%0 Journal Article %T Screening for Chlamydia trachomatis Using Self-Collected Vaginal Swabs at a Public Pregnancy Termination Clinic in France: Results of a Screen-and-Treat Policy. %+ Service de Gynécologie et Obstétrique [Rennes] = Gynaecology [Rennes] %+ Microbiologie : Risques Infectieux %A Lavoué, Vincent %A Vandenbroucke, Laurent %A Lorand, Sophie %A Pincemin, Patrick %A Bauville, Estelle %A Boyer, Laurence %A Martin-Meriadec, Daniel %A Minet, Jacques %A Poulain, Patrice %A Morcel, Karine %< avec comité de lecture %@ 0148-5717 %J Sexually Transmitted Diseases %I Lippincott, Williams & Wilkins %V 39 %N 8 %P 622-7 %8 2012-08 %D 2012 %R 10.1097/OLQ.0b013e318254ca6f %M 22801345 %Z Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetricsJournal articles %X OBJECTIVE: : To assess the prevalence of Chlamydia trachomatis (CT) infection and the risk factors for CT infection among women presenting for abortion at a clinic in France. METHODS: : Women seeking surgically induced abortions were systematically screened by PCR on self-collected vaginal swabs between January 1, 2010, and September 30, 2010. CT-positive women were treated with oral azithromycin (1 g) before the surgical procedure. RESULTS: : Of the 978 women included in the study, 66 were CT positive. The prevalence was 6.7% (95% confidence intervals [CI] 5.1%-8.3%). The risk factors for CT infection were the following: age <30 years (Odds ratio [OR]: 2.0 [95% CI: 1.2-3.5]), a relationship status of single (OR: 2.2 [95% CI: 1.2-4.0]), having 0 or 1 child (OR: 5.2 [95% CI: 2.0-13.0]), not using contraception (OR: 2.4 [95% CI: 1.4-4.1]), and completing 11 weeks or more of gestation (OR: 2.1 [95% CI: 1.3-3.6]). Multiple logistic regression indicated that 4 factors-having 0 or 1 child, a single relationship status, no contraceptive use, and a gestation of 11 weeks or more-were independently associated with CT infection. The rate of postabortion infection among all patients was 0.4% (4/978). CONCLUSIONS: : These results reveal a high prevalence (6.7%) of CT-positive patients among French women seeking induced abortions. Because it is not common practice to screen the general population for CT, screening before induced abortions seems relevant. A cost-effectiveness study is required to evaluate this screen-and-treat policy. %G English %L inserm-00721709 %U https://inserm.hal.science/inserm-00721709 %~ INSERM %~ UNIV-RENNES1 %~ IFR140 %~ HL %~ MRI %~ IGDR %~ NUMECAN %~ NUMECAN-CIMIAD %~ UR1-UFR-SVE %~ UR1-HAL %~ UR1-SDV %~ TEST-UNIV-RENNES %~ TEST-UR-CSS %~ UNIV-RENNES %~ UR1-BIO-SA