Discuss chlamydia screening

Demonstrate the use of the HEEADSS adolescent-interviewing technique. Recognize pregnancy: intrauterine, ectopic, and miscarriage. Discuss options during an unplanned pregnancy. Select initial prenatal labs. Counsel a pregnant patient for healthy behavior, folic acid supplementation, and immunizations. Outline normal progression of symptoms and physical exam findings during pregnancy. Demonstrate the management of a miscarriage, including the medical and social follow-up.

Knowledge

Chlamydia: Epidemiology, Course of Disease, and Screening Recommendations

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Epidemiology

Chlamydial infection is the most common sexually transmitted bacterial infection in the United States. In 2007, more than 1.1 million chlamydia cases were reported to the CDC. It is thought that another million cases of chlamydia remain unreported. Course of disease

Chlamydia is often insidious and asymptomatic. In women, genital chlamydial infection may result in urethritis, cervicitis, pelvic inflammatory disease (PID), infertility, ectopic pregnancy, and chronic pelvic pain. Chlamydial infection during pregnancy is related to adverse pregnancy outcomes, including miscarriage, premature rupture of membranes, preterm labor, low birth weight, and infant mortality. Screening recommendations

The USPSTF found fair evidence that nucleic acid amplification tests (NAATs) can identify chlamydial infection in asymptomatic men and women, including asymptomatic pregnant women, with high test specificity. In low prevalence populations, however, a positive test is more likely to be a false positive than a true positive, even with the most accurate tests available.