Infectious Disease Screening in Pregnancy

  • Episode Written By : Patricia Massel, Rural Family Medicine PGY2
  • Episode Reviewed By : Dr. Maggie Watt (GP) & Dr. Milena Semproni (ID)
  • Hosts : Kyla Freeman, Patricia Massel, Caitlin Blewett
  • Episode Art : Aikansha Chawla

In the first of this two-part episode we will review some of the basic infectious disease screening tests in pregnancy. In part one we review the key tests to perform during the first prenatal visit that the family doctor should be able to manage themselves (urine cultures, rubella, varicella, chlamydia and gonorrhoea). We will also discuss GBS screening. Then come on back for part two when we review HIV, syphilis, hepatitis B and the patient who presents in labour without any antenatal care including early ID screening.

References
  • Allen et al., 2012 (reaffirmed 2018) SOGC Clinical Practice Guideline No. 276 Management of Group B Streptococcal Bacteriuria in Pregnancy. J Obstet Gynaecol Can 2018 40(2) e181-e186
  • Castillo et al., 2017 SOGC Clinical Practice Guideline No. 342-Hepatitis B and Pregnancy. J Obstet Gynaecol Can 2017 39(3):181-190
  • Dynamed. Chlamydia Genital Infection. EBSCO Information Services. Accessed May 26, 2021. https://www.dynamed.com/condition/chamlydia-gential-infection
  • DynaMed. Gonococcal Cervicitis. EBSCO Information Services. Accessed May 26, 2021. https://www.dynamed.com/condition/gonococcal-cervicitis
  • DynaMed. HIV in Pregnancy. EBSCO Information Services. Accessed June 9, 2021. https://www.dynamed.com/condition/hiv-in-pregnancy
  • Keenan-Lindsay et al., 2006 (reaffirmed 2015) SOGC Clinical Practice Guideline No. 185 – HIV Screening in Pregnancy. J Obstet Gynaecol Can 2017 39(7) e54-e58
  • Money and Allen. 2013 SOGC Clinical Practice Guideline: The Prevention of Early-Onset Neonatal Group B Streptococcal Disease. J obstet gynaecol Can 35(10) 939-948
  • Moore et al., 2015 (reaffirmed 2021) Position Statement: Preventing ophthalmia neonatorum. Canadian Pediatric Society
  • No.368 – Rubella in Pregnancy – J Obstet Gynaecol Can 2018;40(12):1646−1656 https://doi.org/10.1016/j.jogc.2018.07.003
  • Robinson, JL. 2018. Congenital syphilis: no longer just of historical interest. Canadian Pediatrics Society
  • UpToDate. Treatment of Chlamydia trachomatis infection. Accessed May 26, 2021.
  • UptoDate.Treatment of uncomplicated Neisseria gonorrhoeae infections. Accessed May 26. 2021 https://www.uptodate.com/contents/treatment-of-uncomplicated-neisseria-gonorrhoeae-infections

Let us know what you think!

%d bloggers like this: