Heterogeneity in testing practices for infections during pregnancy: national survey across Switzerland.

QUESTION Detection and treatment of infections during pregnancy are important for both maternal and child health. The objective of this study was to describe testing practices and adherence to current national guidelines in Switzerland. METHODS We invited all registered practicing obstetricians and gynaecologists in Switzerland to complete an anonymous web-based questionnaire about strategies for testing for 14 infections during pregnancy. We conducted a descriptive analysis according to demographic characteristics. RESULTS Of 1138 invited clinicians, 537 (47.2%) responded and 520 (45.6%) were eligible as they are currently caring for pregnant women. Nearly all eligible respondents tested all pregnant women for group B streptococcus (98.0%), hepatitis B virus (HBV) (96.5%) and human immunodeficiency virus (HIV) (94.7%), in accordance with national guidelines. Although testing for toxoplasmosis is not recommended, 24.1% of respondents tested all women and 32.9% tested at the request of the patient. Hospital doctors were more likely not to test for toxoplasmosis than doctors working in private practice (odds ratio [OR] 2.52, 95% confidence interval [CI] 1.04-6.13, p = 0.04). Only 80.4% of respondents tested all women for syphilis. There were regional differences in testing for some infections. The proportion of clinicians testing all women for HIV, HBV and syphilis was lower in Eastern Switzerland and the Zurich region (69.4% and 61.2%, respectively) than in other regions (range 77.1-88.1%, p <0.001). Most respondents (74.5%) said they would appreciate national guidelines about testing for infections during pregnancy. CONCLUSIONS Testing practices for infections in pregnant women vary widely in Switzerland. More extensive national guidelines could improve consistency of testing practices.

CVISN electronic credentialing for commercial vehicles in Washington state : a case study : easier licensing and credentials processing for the motor carrier industry.

"EDL# 13980"--P. [4] of cover.

CVISN safety information exchange for commercial vehicles in Connecticut : a case study : increasing inspection efficiency through wireless data access at the roadside.

"EDL# 13981"--P. [4] of cover.

Dissertationes ecclesiasticae pro foro tam sacramentali quam contentioso seu Opus morale ad normam universi juris Canonici exactum /

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上海及営口事情

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興安屯墾区事情

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露領極東の魚類及毛皮資源

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十二朝軍談 . 列國志前編

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東方列國史

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不良住宅密集地区に関する調査

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Freight transportation : improvements and the economy.

Downloaded and printed from the Internet.

Wen cui shi san zhong /

On double leaves, oriental style, in 1 case.

Bibliographischer Jahresbericht über Soziale Hygiene, Demographie und Medizinalstatistik, sowie Alle Zweige des Sozialen Versicherungswesen

At head of title, 1914/15- : Veröffentlichungen aus dem Gebiete der Medizinalverwaltung