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Emergency Medicine Journal 2009;26:120-122; doi:10.1136/emj.2008.070813
© 2009 BMJ Publishing Group Ltd and the College of Emergency Medicine.

BEST EVIDENCE TOPIC REPORTS

BET 4. TREATING CHLAMYDIA IN PREGNANCY

Accepted 9 December 2008

The first 150 words of the full text of this article appear below.

Report by: Summer Stears, Emergency Medicine Resident

Search checked by: Jeffrey S Jones, Emergency Medicine Research Director

Institution: Grand Rapids Medical Education and Research/Michigan State University

A short-cut review was carried out to establish whether antibiotic therapy is effective and safe in the treatment of chlamydia in pregnancy. A total of 165 citations was reviewed, of which four answered the three-part question. The clinical bottom line is that treatment of chlamydial infections during pregnancy can prevent early complications.

THREE-PART QUESTION

In [pregnant women presenting with chlamydia infection] is [antibiotic treatment] effective in [reducing the incidence of miscarriage or preterm labour]?

CLINICAL SCENARIO

A patient presents to the emergency department with complaints of abdominal pain and vaginal discharge. You find out she is pregnant and has chlamydia; will antibiotic treatment help decrease the incidence of miscarriage and/or preterm labour?

SEARCH STRATEGY

MEDLINE 1950 to September 2008 using OVID interface and Cochrane Library (2008) [(exp chlamydia . . . [Full text of this article]


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