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Download het volledig rapport (302 p.) - KCE

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<strong>KCE</strong> reports vol. 6A Prenatale zorg 93<br />

Study Ref Population Intervention Outcomes Results Comments Study<br />

type<br />

of metronidazole (48 hours apart) weeks later weeks of gestation after occurring<br />

683 women received placebo (48<br />

treatment<br />

at varying<br />

hours apart)<br />

Similar for women after < 10 times<br />

weeks after treatment<br />

Kekki et al.,<br />

2004<br />

Re-evaluation of gram stain score<br />

on one occasion º 2 weeks later<br />

70 N/A Comparison of no screening with<br />

two screening programs<br />

(clindamycin-metronidazole)<br />

2. c. Chlamydia trachomatis<br />

Cost-effectiveness analysis of<br />

screening and treatment for BV in<br />

early pregnancy among<br />

asymptomatic women at low risk<br />

for preterm delivery<br />

Costeffectiveness<br />

In the placebo group:<br />

significant increase in<br />

spontaneous resolution from<br />

13% at 2 to 39 weeks to<br />

36% at º 10 weeks of<br />

gestation<br />

No significant difference<br />

between screening and noscreening<br />

strategies in the<br />

costs and in the rate of<br />

preterm deliveries<br />

Screening strategy produced<br />

significantly fewer :<br />

Peripartum infections<br />

Postpartum infections<br />

Screening strategy may<br />

become cost-saving if the<br />

rate of preterm deliveries<br />

exceeds 3%<br />

EL<br />

EE 3<br />

What is the prevalence and incidence of chlamydial infection in Belgium?<br />

Study Ref Population Intervention Outcomes Results Comments Study<br />

type<br />

EL<br />

Donders et al., 1997 65 218 women Examination for Prevalence 7/218 (0.4%) Small sample size CSS 3

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