Wise Michelle R, Sadler Lynn, Ekeroma Alec
Department of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Department of Obstetrics and Gynaecology, Auckland District Health Board, Auckland, New Zealand.
J Prim Health Care. 2015 Mar 1;7(1):65-70.
Chlamydia trachomatis (C. trachomatis) is a common sexually transmitted infection (STI), and routine antenatal screening to reduce the risk of vertical transmission is recommended in New Zealand (NZ).
To determine the proportion of pregnant women who have been screened for C. trachomatis in selected hospitals since the 2008 NZ Ministry of Health Chlamydia Management Guidelines were published, and to examine variation by age and ethnicity.
Clinical audits were undertaken at four NZ hospitals, using electronic databases to determine if C. trachomatis screening had occurred.
Only 24%, 31%, 35% and 61% of pregnant women were screened in Tauranga (2010), Auckland (2013), Waikato (2013) and Middlemore (2011) hospitals, respectively.
Despite increases in the proportion of pregnant women screened in Auckland and Middlemore compared to pre-2008, and higher proportions of young women and Maori women screened, overall antenatal screening for C. trachomatis remains suboptimal. Several strategies are presented to support universal screening in pregnancy, as recommended by the NZ Ministry of Health.
沙眼衣原体（C. trachomatis）是一种常见的性传播感染（STI），新西兰（NZ）建议进行常规产前筛查以降低垂直传播风险。
确定自2008年新西兰卫生部衣原体管理指南发布以来，选定医院中接受沙眼衣原体筛查的孕妇比例，并按年龄和种族检查差异。
在新西兰的四家医院进行临床审计，使用电子数据库确定是否进行了沙眼衣原体筛查。
陶朗加（2010年）、奥克兰（2013年）、怀卡托（2013年）和米德尔莫尔（2011年）医院分别只有24%、31%、35%和61%的孕妇接受了筛查。
尽管与2008年之前相比，奥克兰和米德尔莫尔接受筛查的孕妇比例有所增加，且年轻女性和毛利女性的筛查比例更高，但沙眼衣原体的总体产前筛查仍不理想。根据新西兰卫生部的建议，提出了几种支持孕期普遍筛查的策略。
