{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:41:30Z","timestamp":1777927290839,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,12,22]],"date-time":"2019-12-22T00:00:00Z","timestamp":1576972800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:p>The objective of this study is to evaluate whether pregnant women receive appropriate treatment, undertreatment, or overtreatment in the emergency department (ED) when they are tested for chlamydia and gonorrhea as compared to non-pregnant women. In a retrospective cohort study, we analyzed visits made to an urban ED from 1 July 2012 to 30 June 2014, with testing for chlamydia and gonorrhea (n\u2009=\u20093908). Using multiple logistic regression, we compared undertreatment and overtreatment in women controlling for pregnancy, age, race, and sexually transmitted infection International Statistical Classifications of Diseases (ICD)-9 coded diagnosis. Pregnant women were significantly more likely to be undertreated when positive for infection as compared to non-pregnant women (OR 2.94; 95% CI, 1.47\u20135.95) and significantly less likely to be overtreated when negative for infection (OR 0.40; 95% CI, 0.31\u20130.53) as compared to non-pregnant women. Pregnant women may not be receiving appropriate treatment when they present to the ED with chlamydia or gonorrhea. Attention should be paid to this group when administering chlamydia and gonorrhea treatment to ensure appropriate care and follow-up.<\/jats:p>","DOI":"10.1177\/0956462419880379","type":"journal-article","created":{"date-parts":[[2019,12,23]],"date-time":"2019-12-23T01:01:52Z","timestamp":1577062912000},"page":"166-173","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Undertreatment of chlamydia and gonorrhea among pregnant women in the emergency department"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1467-5637","authenticated-orcid":false,"given":"Eleanor P","family":"Bergquist","sequence":"first","affiliation":[{"name":"College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Trolard","sequence":"additional","affiliation":[{"name":"Institute of Public Health, Washington University in St. Louis, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne S","family":"Kuhlmann","sequence":"additional","affiliation":[{"name":"College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Travis","family":"Loux","sequence":"additional","affiliation":[{"name":"College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen Y","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA"},{"name":"Department of Medicine, Division of Emergency Medicine, Washington University School of Medicine, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley P","family":"Stoner","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA"},{"name":"Department of Anthropology, Washington University in St. Louis, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilary","family":"Reno","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,12,22]]},"reference":[{"key":"bibr1-0956462419880379","doi-asserted-by":"crossref","unstructured":"Garlock J, Lee L, Cucci M, et\u00a0al. Suspected gonorrhea and chlamydia: incidence and utilization of empiric antibiotics in a health system emergency department setting.\n                      Am J Emerg Med\n                      2019; 37, 884\u2013889.","DOI":"10.1016\/j.ajem.2018.08.015"},{"key":"bibr2-0956462419880379","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2016.06.039"},{"key":"bibr3-0956462419880379","unstructured":"Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance 2018. 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Births: final data for 2016. National vital statistics report. In: National Vital Statistics Reports (ed) Hyattsville, MD: National Center for Health Statistics, 2018."},{"key":"bibr23-0956462419880379","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2016.12.32440"},{"key":"bibr24-0956462419880379","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2006.04.017"},{"key":"bibr25-0956462419880379","doi-asserted-by":"crossref","unstructured":"Gaydos CA, Ako MC, Lewis M, et\u00a0al. Use of a rapid diagnostic for Chlamydia trachomatis and Neisseria gonorrhoeae for women in the emergency department can improve clinical management: report of a randomized clinical trial.\n                      Ann Emerg Med\n                      2019; 74: 36\u201344.","DOI":"10.1016\/j.annemergmed.2018.09.012"},{"key":"bibr26-0956462419880379","doi-asserted-by":"publisher","DOI":"10.1016\/j.diagmicrobio.2016.10.019"},{"key":"bibr27-0956462419880379","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000438"},{"key":"bibr28-0956462419880379","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir694"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462419880379","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462419880379","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462419880379","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:40:01Z","timestamp":1777675201000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462419880379"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,22]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1177\/0956462419880379"],"URL":"https:\/\/doi.org\/10.1177\/0956462419880379","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,22]]}}}