TY - JOUR T1 - The value of a screen and treat policy for <em>Chlamydia trachomatis</em> in women attending for termination of pregnancy JF - Journal of Family Planning and Reproductive Health Care JO - J Fam Plann Reprod Health Care SP - 69 LP - 72 DO - 10.1783/147118901101195272 VL - 27 IS - 2 AU - Tamsin M Groom AU - Peter Stewart AU - Heike Kruger AU - Gill Bell Y1 - 2001/04/01 UR - http://jfprhc.bmj.com/content/27/2/69.abstract N2 - We aimed to assess the efficacy of a screen and treat policy for sexually transmitted infections in women requesting termination of pregnancy, with particular reference to Chlamydia trachomatis. A retrospective review of 100 consecutive cases of Chlamydia-positive women between December 1995 and February 1998, was performed. The referral rate to genitourinary medicine (GUM), the subsequent management, contact tracing and treatment of partners were assessed. Ninety-nine women were referred to the GUM department, of whom 72 (71.4%) attended. Eighteen (25%) required further treatment. Seventy-five women identified 89 potentially infected men, of whom 62 (69%) attended for treatment. Identification of positive cases with referral to GUM enabled tests of cure to be carried out, treatment of those reinfected and re-enforcement of behaviour modification, in addition to successful contact tracing. This policy may confer greater benefit for the patient herself and make a significant impact on the reservoir of infection in the community when compared to a policy of blanket prophylactic antibiotic treatment at the time of termination. The implications for future service provision are discussed. ER -