Managing Infections in Pregnancy Toolkit
COMMON URINE and REPRODUCTIVE TRACT INFECTIONS in PREGNANCY
A Systems Approach to Optimize Screening, Treatment, and Follow-up
This toolkit aims to
- Increase awareness and knowledge of urine and reproductive tract infections as preventable sources of pregnancy complications and adverse outcomes;
- Enhance the ability of clinical providers and their staff to identify and care for women with common urinary and reproductive tract infections; and
- Support recommended screening, treatment and follow-up for genitourinary infections by increasing the knowledge and skills to design efficient and effective office systems.
The toolkit synthesises a range of information and materials, including:
- Academic literature explaining the link between infection and pregnancy complications;
- Clinical recommendations for screening, treatment and follow-up;
- Examples and resources for use by healthcare providers and staff;
- Continuing educational materials that target clients;
- Recommendations for ensuring efficient office processes to support optimal prenatal care.
Objectives
Use of this toolkit will enhance knowledge, skills, and clinical systems.
How to use this toolkit
- Click on a Section Heading in the Table of Contents below to jump to that secition. Click on the Section name to download a pdf file of that section.
- Click on links to CDC and health department brochures to download them individually from the source. These links will take you to external websites. (Lower resolution copies are also included in the toolkit pdfs.)
- To download the complete toolkit, click here (large file, 166 pages).
TABLE OF CONTENTS
Jump to Section
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Overview |
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Key Recommendations |
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Preconception and Gestational Age-Specific Perinatal Infection Screening Recommendations
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Checklist of Common Errors & Steps to Check Your Clinical Practice
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Background |
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Urinary Tract Infections |
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Complications in Pregnancy and Preventive Strategies
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Screening and Diagnosis for Asymptomatic Bacteriuria
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Guidelines for Asymptomatic Bacteriuria in Pregnancy
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Key Principles of Best Practices for Screening, Treatment and Follow-up
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Patient Instructions and Patient Educational Handouts and Resources
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Group B Streptococcus |
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Complications from GBS in Pregnancy
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Guidelines for Universal Prenatal Screening for GBS to Prevent Neonatal Infection
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Antenatal Algorithm for Management of GBS
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Patient Educational Handouts and Resources
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Chlamydia |
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Frequency of Complications Associated with Untreated Chlamydia Infection
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Guidelines for Chlamydia Screening and Management in Pregnancy
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Key Principles of Best Practices for Chlamydia Screening, Treatment and Follow-up During Pregnancy
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Chlamydia Screening Treatment and Follow-up Algorithm
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Comparison of Chlamydia Testing Technologies
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Patient Educational Handouts and Resources about Chlamydia
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Gonorrhea |
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Complications Associated with Untreated Gonorrhea in Pregnancy
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Guidelines for Gonorrhea in Pregnancy
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Key Principles of Best Practices for Gonorrhea Screening, Treatment and Follow-up During Pregnancy
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Comparison of Gonorrhea Testing Technologies
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Gonorrhea Screening and Treatment Algorithm
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Patient Educational Handouts and Resources
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Syphilis |
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Syphilis Rates in California, 2008
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Complications Associated with Untreated Syphilis in Pregnancy
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Screening and Diagnosis of Syphilis in Pregnancy
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Clinical Manifestations of Syphilis
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Guidelines for Screening, Treatment and Follow-up for Syphilis in Pregnancy
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Key Principles of Best Practices for Syphilis Screening, Treatment and Follow-up During Pregnancy
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Management of Sexual Partners
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Algorithm of CDC Guidelines for Management and Treatment of Sexual Partners of Adults with Syphili
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Patient Educational Handouts and Resources
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Bacterial Vaginosis |
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Complications of Bacterial Vaginosis in Pregnancy
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Bacterial Vaginosis Diagnosis
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Bacterial Vaginosis Diagnostic Tests: Sensitivity & Specificity
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Guidelines for Screening, Treatment and Follow-up for Bacterial Vaginosis in Pregnancy
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Key Principles of Best Practices for Bacterial Vaginosis Screening, Treatment and Follow-up During Pregnancy
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Algorithm for Screening, Treatment, and Follow-up for Bacterial Vaginosis in Pregnancy
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Patient Educational Handouts and Resources
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Genital Herpes |
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Complications of Genital Herpes in Pregnancy
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Prevention of Neonatal Herpes
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Screening, Diagnosis and Clinical Manifestation of Herpes Virus
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Herpes Simplex Virus Clinical Syndromes
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Guidelines for Diagnosis, Treatment and Follow-up for Genital Herpes in Pregnancy
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Key Principles of Best Practices for Genital Herpes Screening, Treatment and Follow-up During Pregnancy
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CDC Treatment Recommendations for Genital Herpes
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Patient Educational Handouts and Resources
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Partner Treatment |
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Partner Notification and Treatment
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Patient Delivered Partner Therapy
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California Law
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Patient-Delivered Partner Therapy (PDPT)—Guidance for Medical Providers in California, from CA STD/HIV Prevention Training Center
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Treatment and Screening Guidelines |
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Mandatory Reporting |
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System Design—QUALITY IMPROVEMENT TOOLS |
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Definition of Quality Health Care
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Office System Inventory Tool
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Cause and Effect Diagram
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Model for Improvement Key Points
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Change Concept and Change Idea Definitions
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Example: Moving from Change Concept to Testable Change Ideas
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Example PDSA
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PDSA Form Template
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Tips to Make the Most of PDSA Cycles and Tests of Change
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Example Data Collection Form for Infection Measure
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Care Model for Perinatal Health
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Change Concepts and Change Ideas to Consider Related to Urine and Reproductive Tract Infections
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Resources |
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Website Links to Clinical Screening and Treatment Guidelines
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Taking a Sexual History—The 5 Ps Approach
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Glossary |
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References |